IPAC RHTE# i�-�`�3 7 Harnett County Department of Public Health 29834
Improvement Permit
A building permit cannot be issued with only an Improvement Permit p
--� PROPERTY LOCATION: CAcn81ot4 V r VZ
ISSUED T0: , Q1A11 CZS�Se sk w 1 ty VYS ev k;�ECs, C4, SUBDIVISION LOT #
NEW REPAIR ❑ EZANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: f'n ;%," . )A.0 rw e l l ty" n61
Proposed Wastewater System Type: a�' •VIZ,�)oQ5 i,� /SFm
Projected Daily Flow: ��zftC1 N46aGPD
Number of bedrooms:Number of Occupantf7 max
Basement ❑Yes �,No
Pump Required: []Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for.Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: 1-. `d SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ance of other permits. The permit holder is re 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 I ement�emrit-sA n be affected by a change in ownershri�p fpI t e site. This permit is subject to compliance with the provision of
the Paws and Rules for Sewage Treatment and Disposal and ro 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: \)55Ts.r k:::4ssyc4>a PROPERTY LOCATION:
`, SUBDIVISION LOT #
Facility Type: � co, N s tvt ,�(}t�" �t �� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes !�<No L•aSQ
Type of Wastewater System" a5`1 n SZE.avCT. a va Sys 7C— n (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
�'s•!• REO Cyt (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size L6 o o gallons Exact length of each trenches 150 feet Trench Spacing: 01 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (9-11 inches
Maximum Trench Depth of: S*I -36 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 spetibed is different Imm the type spetiffed on the app/i6itian. / airept the rpeuh'cationr aphis permit
Owner/legal Re resentative Signature: Date:
This Construction Authorization n revocation if the sire pian, plat or the intended use changes. The commission Authorization shall not be transferred when there is a change in ownership of the site. This
Construction AuthonzatiorkR-s to mmpra � oeisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
K Date: '.I
%1 1'0 btruction Authorization Expiration Date:
HTE# S 3 T-7 3 2 Permit # a'�l'83y
Harnett County Department of 1"ublic Health
Site 'ketch
_
PROPERTY LOCATON: CPlnc"00
ISSUED TO:Iy +!Lap wssw `• SF -ss WGA SUBDIVISION LOT #
Authorized State Agent: �»5 o�ivffL soLyL Date: 1Y
C,p, Ea-p)j N1Li- MD