IPAC RHTE# 12--5—41GI�tZHarnett County Department of Public Health 29767
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Q3P, Qr�
ISSUED TO: SUBDIVISION f& —66 41 S I:-, LOT # /
NEW REPAIR ❑ - EKPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: T
Type of Structure: 3 a L 5({. X
Proposed Wastewater System Type: `;IiS Z-, 2e�a �1u l Sys,
Projected Daily Flow: 3 C -C? GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes
Pump Required: ❑Yes ❑ No LITEay De aired based on foal location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community 5-Iublic ❑ Well Distance from well feet
Permit valid for:
f�-fiv�yeari
❑ No expiration
Authorized State Agent: �, �//ti S Date: 12/ 0 112 1661,'4 SEE ATTACHED SITE SKETCH
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 m revootion 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 Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Building Permit
The construction and installation requirements of Rules .1950, .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.
ISSUED TO:
2 PROPERTY LOCATION:
({mac
SUBDIVISION f5c—..*OA
5/D LOT #
Facility Type: 33r2— Sr> L3k?,-)c6b9
L?'New 11Expansion ElRepair
Basement? ❑ Yes Ca—'Flo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 6%
/Ze—c� - t4--7?n5 11- .
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
jy �t
owc� lin s as • (Repair)
Installation Requirements/Conditions
Number of trenches =3
Septic Tank Size _l 0CA"'D gallons
Exact length of each trench 12�, G
feet
Trench Spacing �7 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: / a inches
Maximum Trench Depth of: 04--
inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: It. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
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 system type specified is different from the type specified on the app/ication / accept the rpecipcationr o/ this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there h 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: 5 a I a I ap11,-4-
A-aM — 7�, n , Construction Authorization Expiration Date: 1 a I of ) aoa a
HTE# 1 f �S 41 6- ( (o d, Permit # ea y }G
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: �3S 3c kxAo& zcooc�-
ISSUED TO: Gr -C; j SUBDIVISION Q) -lvn S/r�, LOT #
Authorized State Agent r`- �r� Date: 1 r'a' of aclq