IPAC RHTE# I`a"5'y3T�k°1 P� Harnett County Department of Public Health 29840
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
^ 0tvs+cE �osh(_y L_L_C PROPERTY LOCATION P)r--EOj C"M5t_.GiAv2Ga
ISSUED TO: 1- SUBDIVISION 1�kocttl '-4'k wr a, LOT # $
NEW REPA�C� XPA SION ❑ Site Improvements required prior to Construction Authorisation Issuance:
Type of Structure: S _0 �'b-z ��� t >a—T�
Proposed Wastewater System Type: a'Sa/s i�Govd+e d S�SCM
Projected Daily Flow: "10 GPD
Number of bedrooms: 4 Number of Occupants: max
Basement ❑Yes XNO
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No May be required based on final location and elevations of facilities
❑ Community 'X Public ❑ Well Distance from well feet
Permit valid for:
Five years
❑ No expiration
Authorized State Agent:: Date: 11 �_S I T S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc (raQer permits. 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 intended use changes. The Impa rat Permit erred by a change in ownership lof the s' e. Thpermi
This t is subject to compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and m conditions of this pietistic.
Construction Authorization
Required for Building Permit
The mnstmction and installation requirements of Rules .1950, .1952, .1954, ASS, .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. �(]sys+t a sill gm6r., LT_, L
ISSUED TO: PROPERTY LOCATION: Mrd LAN Cb`AAQEL C-)v'Sw20A 'J
SUBDIVISION 20ar1 W Sr 0 LOT #
Facility Type: rJ�v �'i,'` - New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** aS °I. V -GO v c4 o r4 (Initial) Wastewater Flow: �$ d GPD
(See note below, if applicable ❑) / }��
,-S�I• ItL.7VGSlOPr Sy -5 (Repair)
Installation Re uiremen /Conditjons Number of trenches
Septic Tank Size �O o gallons Exact length of each trench CoQ b feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover r. inches
Maximum Trench Depth of: ka 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: s v x*^ ochs= Gas aF C-" 6`1- NGCbEa O'yyy paa iw cc -,,G -t,20 inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / nnderrtaird the system type .specified it different from the type specified on the app/kation. / accept the specifications of this permit
Owner/Legal Representative
Date:
This Construction on is subject m revocations if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when Mere is a change in ownership of the site. This
Construction Authorisation ubjett c Iw r@�provisions of the Caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: alis
Authorization Expiration Date: 11
41y-711�
HTE# 1q-5�'i3iL-4 �2 Permit # Vi()
Harnett County Department of Public Health
Site ,ketch
ISSUED TO:
Authorized State Agent: z�v
PROPERTY LO(ATON: M J`"o (::;�N W EL C;,N V Q,0A L
SUBDIVISION P-02,&rt:< N14Ns,0N LOT # 4
Ips.-j&t, -TOL\e5OoM 1 Date: ��1SlW
.tel If,/
nC(pAO C�SJPEL GNV2G1\ ftp
3�"'NAL 't-P,—jo i IaF«- OaP\U FICLO Aaa44>. N3 Ca rpQCD