IPACHTE# n_5_L 1j`i4 Harnett County Department of Public Health 29840
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
pp PROPERTY LOCATION: r1c,L6wN Ga
NEW REPAIR npEt_(,i�o2Gla
ISSUED T0: DRG- S4 C N l SUBDIVISION 1�k c>,[47 r, t\yST o+u LOT #
Type of Structure: s�'O $
XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
�� �)Ci�
Proposed Wastewater System Type: aS*7o PvGAsada e N
Projected Daily Flow: "yI 0 GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes 11 No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. XFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: :! \ 2yh5 Date: L� 1S I s8 SEE ATTACHED SITE SKETCH
The iuuance of this permit by the Health Department in no way guarantees the issuance 4aSI!er persons The permit holder is respon ble for checking with appropriate governing bodies in meeting their requirements, This
site is subject to revocation if the site plan, plat. or the inended use changes. The Improvement Permit shall not he 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 m conditions of this permit.
Construction Authorization
(Required for Building _Permit)
The construction and installation requirements of Rules .1950, .19S0, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in actordana
with the attached system layout
ISSUED TO: �� S SCw pgL! PROPERTY LOCATION: Mc-L=v.,r C%A0tP6L C-Ai\PaC),A '�D
SUBDIVISION \4 � 5; pN LOT # $
Facilitv Tvne: rJ�O ��a �� O D;e uew n x , .. n n....:.
Basement? ❑ Yes ;K No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** vU=(y 0 5-'r (Initial) Wastewater Flow: "+?0 GPD
(See note below, if applicable ❑)
,Z/v �GOy ix l off Sy3 (Repair)
Installation Re uirements/Conditi ns Number of trenches 1
Septic Tank Size gallons Exact length of each trench C7Q 0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 inches
Maximum Trench Depth of: I', 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: (t. TDM vs. _ GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: VI I" %v- o .\ vP G 0`1:7 G"e-q- NG-,5(0Y6l pop �v S'r,,610P 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, l understand the s}rtem type sperifed is different fma, the type stiedfed on the application. / accept the speciff6 ons of this permit.
Representative
Construction
to revocation
,Tsr
if `th�e site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred whi
�4_cv�w-s vvisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this oermi
Authorized State Agent: Date: d TS
struction Authorization Expiration Date: y
Date:
e in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# �l-SY'T31" Permit# ��$�i0
Harnett County Department of 1"ublie Health
Site Sketch
PROPERTY LOCATON: f 1aLc�aN v�DPEL C��U2w L
ISSUED TO: ct eTi� �c L -w cct SUBDIVISION \,lt4g o, LOT # 4
Authorized State A¢ent: (.0L, -46a_ -TOL\c.,70a L� Date:
\ J�
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