IPACHTE#J%—S—ti M( Jk Harnett County Department of Public Health 29706
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
pp PROPERTY LOCATION: PEANVS L vJ,
ISSUED T0: G p%CL4 nO9IN a, Z p is e SES LTLG SUBDIVISION LOT # i3
NEW^REPAIR El EKPANSION [IType of Structure: 5Wb (
Proposed Wastewater System Type:Yv fne7 15 °VLn .SrS,
Projected Daily Flow: COQ) GPD
Number of bedrooms: 5 Number of Occupants: —J-9)—max
Basement []Yes X No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Wes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for,
Five years
❑ No expiration
Authorized State Agent: 5 Date: $�� �� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees s nce of other permia. The permit holder is responsible for specking with appropriate governing poditis in meeting their requirement. This
site is subject m Meadow if the site plan, plat, or the intended use changes. The Im ent 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 amordance
with the attached system layout
ISSUED TO: GA2y Kog1N50N \-�ns.\65 PROPERTY LOCATION: pEP�NuT LW
SUBDIVISION LOT #
Facility Type: SAO 7 �t xC 1� X New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'IR No Basement �-Fixtures? ❑ Yes
No
Type of Wastewater System** P- ^ 4? 1 0 � S°j o RGot czr 1, 01 Syy T (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑
�unrmeTo L. -o' -s f ./�
rl&;a )s.E Giip--b 41Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size = 5' O gallons
Pump Tank Size S a5 o gallons
Exact length of each trench --a- a,'9 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of-. 17-1N inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. _ GPM
Trench Spacing: "i Feet on Center
Soil Cover: ro inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
inches below pipe
Depth: inches above pipe
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: / understand the system type spec/led /r different from the type speciled on the app/ication. / accept the spedfcationr of this permit
Date:
This construction Authorisation is'ty revocation if the site plan, plat or she intended use changes. The Construction Authorhation shill not be mnshn
construction Authorization is sttl to wmpliac' =ions of the laws and Rules for Sewage treatment and Disposal and to the conditions of this
Authorized State Agent: Date: 8 3
Co e{fction Authorization Expiration Date: 8
e in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# _ 1 � ' � -L41
ISSUED TO:
Permit # a'f7 0.
Harnett County Department of
Site Sketch
Public Health
PROPERTY LOCATON:_ �EPNi1S y N
SUBDIVISION LOT # $
Authorized State Agent:
Date: e I a91 Tl
V y3