IPAC RHTE# e_ Harnett County Department of Public Health 29935
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: fv C✓ a T O N
ISSUED TO: SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: y6(Z g0j)t --ly.<eNI
Proposed Wastewater System4y ee_: any ��f� E (L •
Projected Daily Flow: } g;' GPD
Number of bedrooms:Number of Occupants: max
Basement ❑Yes o
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
May be red based on final location and elevations of facilities
ublic ❑ Well Distance from well rsk feet
Permit valid for:
we
❑ No expiration
Authorized State Agent: l/ / o/ yam Date: " I10 1 a c6l?, SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees rhe issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies m 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 constmetion and installation requirements of Rules .1950, .19S7, .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: it im Car-+ PROPERTY LOCATION: r--) C- at c) %--3-
SUBDIVISION LOT #
Facility Type: 4ell -10qA X,'T-y.�a_ 5 Ei--Niw�❑ Expansion ❑ Repair
Basement? ❑ Yesement Fixtures? ❑ Yes` ElNo
Type of Wastewater System" C o wC!V�SCwn J �i ,tel ern (Initial) Wastewater Flow:�o GPD
(See note below, if applicable ❑)
Cvanbona\ SSs be :d5y')
(Repair) 3
— P,-2.rwt t a.5 y rb t.c
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1a5y gallons Exact length of each trench V ad feet Trench Spacing: c/ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: i -2 inches
Maximum Trench Depth of 04 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 TDH vs. GPM 1�7 inches below pipe
Aggregate Depth: ? inches above pipe
Conditions: Oen Cc -soja N>-zo-e E -i 'a 94.,Ire �_ inches total
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.
**If applicable: / undealand the t}rtem type rperihed it diKerent /ram the type rpecihed on the app/iratioa / accept the rperilraannr of this 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 Authorhation shall not be transferred when there is a change in ownership of the site. This
Lonstmcthon 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 btt AI IACHtU Silt SKtICH
Authorized State Agent: Date: ' I Tf5 [ got d
�s�57rt e-s22ity Construction Authorization Expiration Date: o4(LOIgo a3
HTE#
11- 5 - ` c>06: 2 - Permit # aG 1136
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: a I o N,.
ISSUED T0: T m Q�c;4r- (:r�n SUBDIVISION LOT #
Authorized State Agent: ���-� �� Date: b
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