IPAC RHTE#t -5-4� -i lig Harnett County Department of Public Health 29822
Improvement Permit
A building permit cannot be issued with only an Improvement Perm t�
tn� PROPERTY LOCATION: V -PNC n,L �D
ISSUED TO: O _ . i�OQI )J SUBDIVISION W cart 1,, LOT # B A
NEW REPAIR ❑ PA ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: MVO
Proposed Wastewater System Type: cs H P E. -
Projected Daily Flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement Dyes 'Allo
Pump Required: ❑Yes '-'CE14o ❑ May be required based on final location and elevations of facilities
Type of Water SuI : ❑ Community '1>1� Public ❑ Well Distance from well feet Permit valid for: >Five years
Permit conditions: 0 o expiration
Authorized State Agent: 52135 Date: 1'1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the . plan Deparpnent in no way guarantees the n H or permit. The permit holder i responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subjen to revocation if she sin plan, plat, or the intended use changes. The Improv cont Pe t 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 perms��`�.�� r
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: e)1 z_+_kmo Mo oa.J PROPERTY LOCATION: Q0 'Dc,x, PO
SUBDIVISION W em'a LOT #
facility Type: M no w) flRs - GAnPG9 X New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Or.ly 6-rX (Initial) Wastewater Flow: XQ GPD
(See note below, if applicable ❑)
CoN46-N-4)Q.PL (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size Lao o gallons Exact length of each trench 3o o feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 18-30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TON vs. GPM
Trench Spacing: I Feet on Center
Soil Cover. C - 1X inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: Ey s �r 4 s�o6p �uno� Qct, L
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.
G inches below pipe
ra- inches above pipe
1a, inches total
**If !e: / undeataad the ryrtem type rpetiled yi different from the type tpealed tm the app/iratiom / accept the rpealrationf of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorizationi_=subject to revocation if the site pWn, plat or rhe intended use changes. The Construction Audrorization sha11 not be transferred when there u a change in ownership of the site. This
consmucuon motorization is sulinct to co with visions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
thorize tit: a5 Date: 1 )a
_c x`a5 3Y -t` nn Authorization Expiration Date: 'J
HTE# 1i-5-LA-4�LlWw112- Permit # WqI
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:_ Rh,y C. N c u
ISSUED TO: Moo SUBDIVISION \-10 ra. LOT # l
Authorized State Agent: �� �Ou�62 {oLtr�pp Date: 7`(
Aw y 15- x-tz
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