IPAC RHTE#`1--) -S t-l�O3S R Harnett County Department of Public Health 29445
Improvement Permit
A building permit cannot be issued with only an 'Improvement Permit p
PROPERTY LOCATION: WILL 1 'Jc wa b
ISSUED TO: C/ Coil14S`^s C' SUBDIVISION S.,,ec4L LOT #�a.
NEV� REPAIR 11IPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S`� CSS " Qz
Proposed Wastewater System Type: cam° o R Cr t tt,J SZr6�
Projected Daily flow: `% `A PD
Number of bedrooms: 30� 'A Number of Occupants: max
Basement []Yes No
Pump Required: []Yes sNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '1K Public El Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: N'h Date: ' � SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t a of odKr.p siu The permit holder responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use changes. The t ent Permit anected 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.cc
g1y6 ) � I
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: �[Ll� styC �NS� i tC. PROPERTY LOCATION: W"► Lv c -P6
_ SUBDIVISION Sw6C:NwAi6lL LOT # 'SI
Facility Type: S�Z—v L'S 'c6�D New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fix res? ❑ Yes A No
Type of Wastewater System** aco/0 6DUC.i1 o,s o SyS"�C-tom (Initial) Wastewater Flow GPD
(See note below, if applicable ❑)
71 ?,ED . cl--f, —n- YRanairl
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Sized gallons
Exact length of each trench a'iO feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: aU" inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover: 1a.-3 L inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type .specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Aushmrcminn-isut 'ea m revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authonzation is subject to compJL'ance provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
\\ Date: LA
tiY46 Construction Authorization Expiration Date:
HTE# 1 �_�i1�O35(L Permit# �5t-1`lj
Harnett County Department of I-Niblic Health
Site Sketch
PROPERTY LOCATON: ^t t L-�
ISSUED T0: QtNS�C, GO �`�S • /� zG SUBDIVISION SwC_Cys wATGV- LOT # 5a
Authorized State- ent QG>>iS�7L�v�1 �0�4-OOflF Date: 7
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