IPAC RHTE# ~O-`v--Harnett Lounty Department of Public Hea>Iul
Improvement Permit 2 6 2 2 0
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1_ocoe Q,Q
ISSUED T0: -J Pa me-!f' CST SUBDIVISION LOT # 3~_
NEW REPAIR ❑ EXPAi ION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5 $0
Proposed Wastewater System Type:
Projected Daily Flow. 3~ D GPD
Number of bedrooms: Number of Occupants: C. max
Basement ❑Yes X~ No
Pump Required: ❑Yes ❑ No 'X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well LDQ feet Permit valid for. Five years
Permit conditions:
_ ❑ No expiration
Authorized State Agent:: <LC-. Date: d 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o permits. The permit holder is res onsible 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 Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: J p'M~-s 'iZZC N Z;,5 PROPERTY LOCATION: 0 p V-=D
Spa SUBDIVISION VP~NOGS2C~2r~=~ g2~n LOT #
Facility Type:
New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~a No Basement Fixtures? ❑ Yes No
Type of Wastewater System** '?rj MP 1 a C< "'J Ear ON ~L (Initial) Wastewater Flow: 34 0 GPD
(See note below, if applicable
p U M7-7 t? `._-d Nl u N 4tl (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size 10 C 0 gallons Exact length of each trench 1 SO feet Trench Spacing: Feet on Center
Pump Tank Size Ln 0 1Z.) gallons Trenches shall be installed on contour at a Soil Cover: 1
_ inches
Maximum Trench Depth of. Q-Ll inches (Maximum soil cover shall not exce d
e
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM 6
inches below pipe
Conditions: d F Aggregate Depth:_ inches above pipe
C-
+v
\e+N•tg E~ Sa \IEn.C-, -n
inches total
$ L C1. 44\'r, USG "C V,;Tl o N Q C ; ElZ rho N
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.
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: _
This Construction Authorization is subject to revocation
Construction Authorization is subject to compliance with
`site plan, plat, or the intended use changes. The Construction
and Rules for Sewage Treatment and
Date:
Authorized State Agent:
I-- r--G s Y,.C~CGW
rization shall not be transferred when there is a change in ownership of the site. This
and to the conditions of this permit. SEE ATTACHED SITE SKETCH
S Date:
CAu thorization Expiration Date:
t~
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