IPAC RHTE# I1—s4�'V%tL Harnett County Department of Public Health 29779
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 0#6 5c -Idle Ln / � ��hnsost ata 1
ISSUED T0: 60PA (& Aoi'16C n R L/ -r- SUBDIVISION 'Tigan --:n t LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 36&2 50 XWO' 5 i=5
Proposed Wastewater System Type: QS%U <:a{.
Projected Daily Flow: SLS GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 9-90-
Pump
3'NoPump Required: Dyes ❑ NoL"f�May bee red based on final location and elevations of facilities
Type of Water Supply: ❑ Community PLY ubllc ❑ Well Distance from well feet Permit valid lot:
Permit conditions:
9-FFe years
❑ No expiration
Authorized State Agent:: Date: I �?Ia/ /sTD7'f 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, plaC 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 T0:Ct iif1 ph' .c
►fc ,od 4a -,L PROPERTY LOCATION:
24b
5<%ai1te- , (Brvt�er /l a
SUBDIVISION
LOT # 14
Facility Type: ' Ohl. 5 a `X yo' 5;=\-> Ca-lre—w ❑ Expansion ❑
Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
bT 5/
(Initial) Wastewater Flow: 3(v0 GPD
(See note below, if applicable ❑)
PJcvw
°acs 50%6 tLc? t; s (Repair)
Installation Requirements/Conditions I
Number of trenches t
Septic Tank Size I C66 gallons
Exact length of each trench 40
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 W inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / undeatand the system type specified it different from the type spec&ed on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Commmion Authorization is subject in 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
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: 112/ a1 I adT-"?--
A—% w.7 LJc[ rz l Construction Authorization Expiration Date: IRlaI I;1 a -..j5
HTE# 11-6'qa40,q)(— Permit # a 94-49
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 22* 60�dWke, Lrn . Urltl *7t,AAS„n Baa
ISSUED T0: (,wa aob:�scx, 1 Konz,, Cct SUBDIVISION LOT #
Authorized State Agent: Date: t �T J aO1
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