IPAC RHTE#16-s3"-17C3 (Z Harnt,.t. County Department of Public a._alth 29046
Improvement Permit
A building permit cannot he issued with only an Improvement PeS�It
t� p PROPERTY LOCATION: gtv Fc [., o 6E LN
ISSUED T0: 7�OG3E�t T s�cvp c -Y t Cay SUBDIVISION 1 v-+6 uFTS Mo„� Ls s� LOT # a
NEK1 REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure.
Proposed Wastewater System Type: 'Pu ewlQSo `el. u GDaGr p,yy
Projected Daily flow: 5 LAgq PD
Number of bedrooms: �_ Number of Occupants: !t_4 max
Basement ❑Yes "Q10
Pump Required:51(es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 b n feet Permit valid for. Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent: _ YLb Date: 10 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees 'tomo of other permit. The permit holder is respo sible 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 h Yemeni P�e-r�mi,t. �shall� n�o�tf b 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 pennlL�r7G`t t
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .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 systemlayout
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ISSUED TO: zosc'' �aPC x�6 / PROPERTY LOCATION: 'i'—fl « LN
5F0 �3 SUBDIVISION s "L- sib aq —rs s5 I— LOT # �.
Facility Type: b'�� New ❑ Expansion ❑ Repair
Basement?;K Yes ❑ No Basement Fixtures? )5�r-Y.e.ps ❑ No 4�
Type of Wastewater System** RV m4 G aJ to R nuG,1UN Syac[�. (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
_PttGSisx_ata+cnC N'-% e(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size s Ooa gallons Exact length of each trench _7S feet Trench Spacing: 1 feet on Center
Pump Tank Size 1 OvtJ gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 1 y inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4” 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: I Ta a s LN 56D inches total
5 G -P G i.a s'": c5Z N C L.Q.v . fl a a.s e7..a1 i< aces 6n inns., v -s 21 ca A1C
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 / undeatand the ryttem type rpedhed /r d/Kerevot from the type tped6ed on the app/itadon. / accept the rperi6rrdonr of this permit.
vwnnu Legal RUPMelilainr core: Date:
This construction Authorization is subject to reroana a si plan, plat or the intended use changes. The Comrm<tion Authorization shall not be transferred when there is a change in ownership of the site. Thu
construction Authorization i t to compliance wi a prop the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ez__Zs Date: 10 4s T6
2b c s6o
1016VM �. S Cons ction Authorization Expiration Date: I a
HTE# I6 -531-763a Permit # 3.5GL-)t
Harnett County Department of Public Health
Site Sketch
ISSUED T0: 2PROPERTY LOCATON:
o,eta — ��C�. SUBDIVISION 'i��� pz:nFFs 6. C�-ossLwXs LOT # �.
Authorized State Agent: » �otzvC io�ysop� Date: _ t��a��j�