IPAC RHTE# t -J-5-46 4µQ Harnett County Department of Public Health 29224
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 391 .5 hw c� 43mc,4 � 5;Z ISI
ISSUED T0: �`�� iJh ��e, A= I �tl@C s SUBDIVISION id ,o LOT #
NEW Ll' REPAIR ❑ EYPANSION ❑
Type of Structure: 43It- 5;:� Cool x 36`)
Proposed Wastewater System Type: Z6 i� 4L" , 5 73 N
Projected Daily Flow: Y?>G GPD
Number of bedrooms: S/ Number of Occupants: C max
B ❑Y ❑•ttL"
Site Improvements required prior to Construction Authorization Issuance:
asement es
Pump Required: []Yes ❑ No a ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community El Public l� Well Distance from well /CC-' feet L
Permit conditions:
Permit valid for.
R-Fireyean
❑ No expiration
Authorized State Agent:�� Gy Date: 0cela J /-�i`6r'-T- SEE ATTACHED SITE SKETCH
o
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat or the intended use changes. The Improvement Permit shall 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..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .19SD, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into thin permit and shall he met Systems shill be installed in accordance
with the attached system layout
s2 tv,43
ISSUED TO: c, Sl irkt= PROPERTY LOCATION: 3%/ 5h,( Borne, G n . ( A444c aA�
SUBDIVISION LOT #
facility Type:Y ' x o' S l� L-1Expansion El Repair
Basement?
El to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25.7t4c Aac b '01 Sys Ac- (Initial) Wastewater Flow: Y250 GPD
(See note below, if applicable ❑)
AL-e-mla- iso /L, A. Sys. (Repair)
Installation Requirements/Conditions Number of trenches _ 3
Septic Tank Size I a60 gallons Exact length of each trench 100 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of /R inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: `? Feet on Center
Soil Cover. t: 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: / undeatand the system type speciled is different hom the type specded on the application. / accept the specificationr of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if she 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 Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: OGI a al ao t q
C,a-na-a---:s Construction Authorization Expiration Date:o4/aa/ac,�a
HTE#
1 i 5 -qO4 C1 L4 2 Permit # z-ci a@ 4
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 991 St7ad1 C3r00C Gn CLur�!� 9Z yyJ
ISSUED T0: �c�� L� shir�e� �Ia�«r� SUBDIVISION LOT #
Authorized State AgentDate: aG l-4-
/l N n2 ��.� C.vrtiz2t .v
T4 L,A F to YCrT E r�—o .
srL 1(443
A'r- (g2Ab,= Z5".
n�o� cT+v eJ /4_oAr2 AIL v04
— -pt
G t /LC. t- r:- 6.7/L \ v r
g iJAo� t3ruY�C c_J