IPAC RHTE# I% 5-4 Harnett County Department of Public Health 29746
Improvement Permit
A building permit cannot be issued with only an Im,pprovement Permit
PROPERTY LOCATION: 1"11tZOcd W ELGTT
ISSUED TO: P ZC'15)o &S sum "O ME6; SUBDIVISION -S m rnGML_I N LOT # 19
NEWX REPAIR PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 FSJ 50'x.3 a'
Proposed Wastewater System Type: Pv aw 7t a Re o C zn R s 5 1e Sian
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: —% max
Basement ❑Yes No
Pump Required:�Ites ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: -� ❑ No expiration
Authorized State Agent: i\1 \ )-15 Datey 1 I I T 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t e tss7an`TI permits. The permit holder is responsi le for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocaumn if 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 Tmammm and Disposal and to conditions of this permit.
Construction Authorization
Required for Building Permit)
The concoction and installation requirements of Rules .195D, .1952, .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 system layout n
ISSUED TO: Qv-C."S'BN cu S� O a � 0 me -6 PROPERTY LOCATION: P) I L7T 0 a J Q GLGV RO
SUBDIVISION S,ace,r,,&2_0N LOT# 1
Facility Type: SF0(,sO n3d� New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pv .tee 04g S ZS` 5- (Initial) Wastewater Flow: L l GPD
(See note below, if applicable ❑)
Pu M—R—To c_.S°/o Y-c�n, 'jy5 . (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size 100 no gallons Exact length of each trench 3 O a feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 11% inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TON vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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 grtem type speciled is different from the type spealed on the app/ication. / accept the rpecilcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authonzadon is subject to revocation if the site plan, plat. or the intended use changes. The Comtmction Authonzation shall not be transferred when then is a chamm in ownership of the site. This
Construction Autlmnzaoon is sublett u 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. :1`ks Date: I 1115
onstruction Authorization Expiration Date: 1.1 T3- ?a
NTE# 1 5 -4118959 -
Permit # Icn
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: MIL:rON \�6uaAKZ
ISSUED TO:'�nk &5-7 OA SUBDIVISION Syr cv%Eh.LI�J LOT#
Authorized State A¢en WW> Date: „I bd 1')
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