IPACHTE# Harnett County Department of Public Health 29836
Improvement Permit
A building permit cannot be issued with only an I�m 1rovement Permitn
1� PROPERTY LOCATION: L�P.QA't.ACS\) K.D
ISSUED TO: oP�20R0 Sv r.PA 1111 SUBDIVISION L—tz+cE 2).466 , Q a TAa r orl LOT # 163
NEW REPAIR ❑ EKPANSION C7� Site Improvements required prior to Construction Authorization Issuance:
Type of trucmre: M AN 1ku"�6�J
Proposed Wastewater System Type: �pvav6NS)oNAL
Projected Daily Flow: D-LIL0 GPD
Number of bedrooms: Z. Number of Occupants: 1-i max
Basement ❑Yes >kNo
Pump Required: []Yes "'E� No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public X Well Distance from well 50 feet Permit valid for. XFi,e years
Permit conditions: ❑ No expiration
Authorized State Agent:�i Date: '3 )y I SIt SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees race of other permits. The permit holder is responsible for checking with appropnate governing bodies in meeting their requirements. This
site is subject in revocation if the site on, 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, .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: $Paso2v C�eNoEas PROPERTY LOCATION: a acs
SUBDIVISION LvTTLL. (?-NAert,T q Csa s LOT # 103
Facility Type: m c k" • New ❑ Expansion ❑ Repair
Basement? ❑ Yes IR No �ent Fixtures? F-1Yes El No
Type of Wastewater System** owayGw-,r)U N Isct_ (Initial) Wastewater Flow: a140 GPD
(See note below, if applicable ❑)
�,ony6nr5sr3„1,JpcL, (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size too O gallons Exact length of each trench $O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: S% inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: h. TON vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 6 inches
(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
**Ifapplicable, / understand the ryuem type rpeciled it different from the type tpeciled on the application. / accept the rpecifcationr of thir permit.
Signature:
Date:
This construction Amhodzatio u subject to reroatian if the site plan, plat or the intended use changes.The construction Authorization shall not be transferred when tl¢re is a change in ownership of the site. This
construction Authorization h subject to comp , 'in rorisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: � TZ6Td3 Date:
Authorization Expiration Date:
HTE# Permit # a`M36
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Qms-Lo GI-\ vZ
ISSUED TO: a2A SHn�OC— SUBDIVISION L j-nLr- 9w" -A SA'( 10 rJ LOT # l6a
Authorized State Agent: Date: �A �
ak Vttr.\Fi WEiti- 3E'iOAGX \F wEL�
15 1 NS � ALL,ED
9-70
sec VE,> fo2M-,� r-OrL Nu40KL
W G -2L A2EA.
I4