IPAC RHTE# 1%'S -065G Harnett County Department of Public Health 29233
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 00tXv dey 't%,>^ccA fLd . C5(1- 19a3)
ISSUED T0:�GnMev L. Ps+��s�aon �fc SUBDIVISION LOT #
NEW[sem REPAIR ❑ EXPANSION ❑
Type of Structure: t>.z M H 241X60 s
Proposed Wastewater System Type: z6Jo 4-cA
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Racnmpnt flYwt 9.1100
Pump Required: Dyes
Type of Water Supply:
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
❑ No 54119ayvb -required based on final location and elevations of facilities
❑ Community L Public ❑ Well Distance from well feet
Permit valid for:
f1 -f gars
❑ No expiration
Authorized State Agent: T/li ./�� Date: oCr L�
g—_1>L,� �:-� ,�� 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 to revocation 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 Buildine 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: C.. 1&66et5or.T . PROPERTY LOCATION: OrnVndu, ZsVfhCw (ta. (22 14(yi
SUBDIVISION LOT #
Facility Type: t- -Oran 4 ZQ)jX 6d Gi'lewr ❑ Expansion ❑ Repair
Basement? ❑ Yes 0-9o� Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Z 5 %, 2� d u 4�s X51 (Initial) Wastewater Flow: �_ GPD
(See note below, if applicable ❑)
Z 5% /(Z ci uG�'on Sas (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t nc2a gallons Exact length of each trench Pa� feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a Y inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TUN vs. GPM
Conditions:
Trench Spacing: 4 Feet on Center
Soil Cover. rd inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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: / understand the rt rtem type speafred it different from the type specified on the appl2ation. / accept the rperifrationJ o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authonution is subject to revocation if the sire 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
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
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Authorized State Agent !Y�1/� Date:
A Construction Authorization Expiration Date. 1:i11r61aaaaa 1�'
HTE# - y 93!5(A- Permit # 9 `T 233
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 0a14 (-5.7-Apg)
ISSUED TO: SUBDIVISION LOT #
Authorized State Agent:
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