IPAC RHTE# IS -6-03d :?2 Harnett County Department of Public Health 29910
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: L'h .S �: , PROPERTY LOCATION: S - L o 6
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�— SUBDIVISION LOT _#
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: PULP_
Proposed Wastewater System T pe: c -O r\ V • 0 2 426 c> 4,4'1 S� s
Projected Daily Flow: d Li C> GPD
Number of bedrooms: �N Number of Occupants: u..aA max
Basement ❑Yes
Pump Required: ❑Yes f�'No ❑ May "fired based final location and elevations of facilities
Type of Water Supply: ❑ Community f P1Y uhlic ell Distance from well 1 CX> feet.tet i e�� Permit valid for. an
Permit conditions: as-ih �P' dJot_�-1-p �j- �-njCr El No expiration
n a.'lo \ i ri' s . Nl A If r u r7 _ r �
Authorized State Ager= ate: C33/oma /;,/ctg SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. The permit holder is responsible 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, .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: GS(- SIL, G j2-CpVS PROPERTY LOCATION: S W L11,fco1r) S-A. ( >2
SUBDIVISION LOT #
Facility Type:�ol�i� fcn Uel C?' New ❑ Expansion ❑ Repair
Basement? ❑ Yes Gk10 Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** rZ.— Q5% 2r,� Svs (Initial) Wastewater Flow: -74C> GPD
(See note below, if applicable ❑)
(-0nVPn a� 0(L- x596 ".—(Repair)
Installation Requirements/Conditions Number of trenches _q c7
Septic Tank Size S Cid gallons Exact length of each trench qO feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: i9q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Soil Cover: I �? 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.
9J inches below pipe
N h inches above pipe
Nth inches total
**If applicable: / oadetmind the rr rtem type rperiled /r different from the type rpealed on the app/iraaon. / arrept the rperiRitronf of thir permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the site. This
Constmction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 03 Jcoc-5 Ianl�i3
C,_) ¢-cZt 0 Construction Authorization Expiration Date: 03 X0431 tiib�o�i
HTE# 1S - S - Y 3 -?-7 Permit # a � C( 1 C)
Harnett County Department of Public Health
Site Sketch
�1� PROPERTY LO(ATON: �1Coln 5� LS2 I-4C�
ISSUED TO: �V1CR� C x066 SUBDIVISION LOT #
Authorized State Agent: Date: C)
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