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IPAC RHTE# f —) —5'+o9o-7 Harnett County Department of Public Health 29525 Improvement Permit A building permit cannot be issued with only an IB�JQrovement Pe It ` ' ^ L PROPERTY LOCATION: t�nP L- �n ISSUED TO: NTCQ.15 F--CL'GP SUBDIVISION LOT # NEW la! REPAIR ❑ �PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: V= D L� Proposed Wastewater System Tgpe: uca�p Na � o OCStpU S -/Sulo Projected Daily Flow: 3 w GPD Number of bedrooms: 3 Number of Occupants: co max Basement []Yes ><No Pump RequiredWes ❑ No ❑ May he required based on final location and elevations of facilities Type of Water Supply: ❑ Community "1< Public ❑ Well Distance from well feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: 1i Date: 1 SEE ATTACHED SITE SKETCH The issuance of this permit by she Health Department in no way guarantees the of other permits. The permit holder is respon le for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat or she intended use changes. The n-Penti tell not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Reouired for Building Permit The construction and installation requirements of Rules .1950, .1 9S2, .1954, .1 955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout. ISSUED TO:\vA1 rr1laaT ,v-v�)Q6-%4 E4.%c-r%, PROPERTY LOCATION: SUBDIVISION LOT # Facility Type: 6�Q 6 �`3SJ New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System" PR, me—Tet QS°[s Clc' aoa t (Initial) Wastewater Flow:360 GPD (See note below, if applicable ❑) P V m4ip > 0 rile , (Repair) Installation Requirements/Conditions Number of trenches T Septic Tank Size 1©p 0 gallons Pump Tank Size C c-,Qd gallons Pump Requirements: ft TDM vs. Conditions: Exact length of each trench Spb feet Trenches shall be installed on contour at a�1, Maximum Trench Depth of: S�'a rhes (Trench bottoms shall be level to +/•1/4" in all directions) GPM Trench Spacing: 1 Feet on Center Soil Cover: 6' "'Zk- inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. "If applicable: / understand the system type speciled is d1herent from the type specified on the app/icatioa / accept the speofci6tts of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revo 'the site plan, plat car the intended use changes. The construction Authorization shall tmt be transferred when there is a change in ownership of the site. This Construction Authorization isstthpe_ so_ compliance wit rows ws and Rules for Sewage Treatment and Disposal and to the conditions of this Permit SEE ATTACHED SITE SKETCH RbT�� Date: _ -�C) con—strile'tt Authorization Expiration Date: HTE# 5-40Cl01 �, Permit # as 515 Harnett County Department of Public Health Site Sketch PROPERTY LO(ATON: Poe 6 Rz) ISSUED T0: _�+ 1 N'L`S_ �a�+�`�+ G Cct'�A SUBDIVISION LOT # Authorized State Agen� Q(�5 �z`�E2 u L'69 bits Date: q'$Oltj 9 cs' / \a -:t5 t- 413'---J