IPAC RHTE# 14 -5 -t -101A z Harnett County Department of Public Health 29934
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
nA PROPERTY LOCATION: IC:nLin4 LL c ti e 52 a$)
ISSUED TO. 4lir�to 5:)0C1 SUBDIVISION LOT #
NEW LJ— ^REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Stticmre: 3R0 G5 C. )(qAt Sr'��
Proposed Wastewater System T pe: r�2 c—� Lem Si,t
Projected Daily Flow:GPD
Number of bedrooms: Number of Occupants: --(,,—max
Basement ❑Yes W10
Pump Required: ❑Yes ❑ No �aLtl'M y be ee based on final location and elevations of Facilities
Type of Water Supply: ❑ Community uLYP blit ❑ Well Distance from well l� Ek feet
Permit conditions:
Permit valid for:
❑ No expiration
Authorized State Agent.: !!!� �-�� Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. 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 Permitj
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: tyl',c4vc PA \- t&0 y l-tu. PROPERTY LOCATION: t6VV� nu lntar[ w (\ LSy- 1*
cS
� ',/ SUBDIVISION LOT#
Facility Type: '3 2 (,61& X ( 1ew� ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 9556§ 5 (Initial) Wastewater Flow: 3Gy GPD
(See note below, if applicable ❑)
rwi SP . ti C x-,\ S)!!r, ^(Repair) T ivree L3� 4C> C -k )q -
Installation Requirements/Conditions Number of trenches !q=_ Pe-miss;�te
Septic Tank Size t gallons Exact length of each trench SO feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour, at a Soil Cover: I inches
Maximum Trench Depth of: '94-- 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. TOM vs. _ GPM _� inches below pipe
[ Aggregate Depth: NA inches above pipe
Conditions: �rt s.n �tz�r--Q�,c )_ �; ' ( (_ G i \ t-Jk inches total
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 l understand the system type specified is different /rom the type specified on the application. / accept the spealcationr of thin permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is wbject to revocation if the site plan, plat or the intended use changes. The Construction Authorisation shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions a Laws and Rules for Sewage Treatmen of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: c' l0'rl ( aUl
A--:5v��,� CA -)1i Construction Authorization Expiration Date:y4Iv9I aao93
HTE# 5' qO 304 &-- Permit # a C19 3 L
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Wpg Ghxcln ai - 6,62 IsWgA
ISSUED TO: 6$m 00,yb a7w- SUBDIVISION ff LOT # �l
Authorized State Agent: Date:T �q1 V9I X18
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