IPAC RHTE# Y)—5'T'i1`<� Harnett County Department of Public Health 29663
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
11 __ Q PROPERTY LOCATION: D 011;1L 1
ISSUED T0: �4a'�O`AIR f�tJi) Pn(ON 0�—s SUBDIVISION _ i�iAt+»C _u ,066 LO—T#-a;—
Site
T # atm
NEWW REPAIR ❑ EAP ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SVOns[�
Proposed Wastewater System T pe:
Projected Daily Flow_ GPD
Number of bedrooms:Number of Occupants: _max
Basement ❑Yes N0
Pump Required: ❑Yes No Elbe required based on final location and elevations of facilities
Type of Water Supply: El Community
Community Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: 6 130 I) 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaramees t nce a�ia. The permit holde is respo sible for checking with appropriate gumming bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use changes. Them vement Permit affected by a change in ownership of the s' . This permit is subject to compliance with the provisions of
the Taws and Rules kr Sewage Treatment and Disposal and to conditions of this perm
(Required for Building Permit)
The construction and installation requirement of Rules .1950, .1951, .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
LAND i'i'S�iNG25
ISSUED TO: `e NY> l PROPERTY LOCATION: Oa -1D
Vs� is l
SUBDIVISION
Facility Type: SFS W 0 "SC)_Z New ❑ Expansion ❑ Repair
-L L- 0 E LOT #
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System" c`%Sln j1CS)UL'S10 1`4 S yS�Er,
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
c�.S 1G 'DGiJ S—,.
• (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size S in r) d gallons Exact length of each trench H O C5 feet
Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover: 1_ inches
Maximum Trench Depth of: Vq - 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: ft. TDM vs. GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions:
inches total
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.
"If applicable: / understand the system type spectled is different from the type specified on the app/icatiam / accept the specilcatiom ol thir permit.
Owner/legal Representative Signature: Date:
This Construction Authoii b'ett to revocation if the 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
Commission Autmmation i ct to 6—eilgjil nwll i lions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
vg--t—'o Date: _
Ll[ 17 fon ion Authorization Expiration Date:
HTE# lu3 O Q- Permit # a5 443
Harnett County Department of Public Health
Site Sketch
Q PROPERTY LOCATON: DL -0
ISSUED T0: �� �9 v � pp SUBDIVISION MA�,C $GLS`_ 1066 LOT # ci(-
Authorized State Agent "� Q�115GLJ J f�rL ) OL =-Mgy Date:
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