IPAC RNTE# Harnett County Department of Public Health 29732
Improvement Permit
A building permit cannot be issued with only an Improvemengermit
M 4 �/ _ e L S L_� OR Lrr PROPERTY LOCATION: Cr., T QT—,
ISSUED T0: cA0 SUBDIVISION o LOT #AS�
NEW REPAIR ❑ �(PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFS i.3t=s_
Proposed Wastewater System Type: r���a S400yCl mw
Projected Daily Flow: 34, O GPD
Number of bedrooms: __n5 Number of Occupants: 170 max
Basement ❑YesNo
Pump Required: ❑Yes o ❑ 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:: \A5 Date: %-o \3 ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantee er permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements This
site is mb*l to revocation it the site plan, plat or the intended use changes. The Imp ment a all 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
(Required for Building Permit)
The concoction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1950. 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: L 6 N o T`�C-,S LLL— PROPERTY LOCATION: O g)c s izo
5` p `3�,x SUBDIVISION �o rT +a\urLOT # 15T;
Facility Type: ��f New ❑ Expansion ElRepair
Basement? 1:1 Yes No Basement Fixtures? ❑ Yes ❑
Type of Wastewater System"` 9,S *la RG o J G � a N 5 )g E s n (Initial) Wastewater Flow: J(�O GPD
(See note below, if applicable ❑)
8510
P 6q r S�5 (Repair)
Installation Re uirement /Conditions
Number of trenches 1
Septic Tank Size ) oo gallons
Exact length of each trench' d feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: A inches
(Trench bottoms shall be level to +/_1/4"
in all directions)
Pump Requirements: (t. TDH vs.
_ GPM
Conditions:
Trench Spacing: "i Feet on (enter
Soil Cover. J inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OR 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 irpecified is diKereot /Tom the type rperif'ed on the app/i66on. / inept the specihrationr o/ this permit.
umuvc ai�imsuze. Date:
This Conswction Authorisation is subje Dation if the site plan, plat or she intended use changes. The Constuction Authori:atian shall not he transferred when there is
Construction Authorization i to compliance of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
Date:
")'}l7 I Co tion Authorization Expiration Date: `
e in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# » —5- Q- Permit #
Harnett County Depulment of 11ctblic Health
Site Sketch {�
PROPERTY LOCATON:
ISSUED T0: �- f �i o snLs LLC /
SUBDIVISION Oa c Mo LOT # I"
Authorized State Agent: iS �gLwy iauCSvo(1� Date: Sall3l �7
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