IPAC RHTE# 1--) )6R)P,. Harnett County Department of Public Health 29660
Improvement Permit
A building permit cannot be issued with only anl.Ima,provement Permi
PROPERTY LOCATION: t a�i 6_I LL
ISSUED TO: e> rt -1 ii SUBDIVISION LOT # 3 C
NEWREPAIR ❑ EXPANSION ❑
Type of tructure: f1l"wA, 1-1C�cnE a n-7o�
Proposed Wastewater System Type: &�ff I ON P, i --
Projected Daily Flow: -%o GPD b
Number of bedrooms: � Number of Occupants: max
Basement []Yes X No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Oyes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community )< Public El Well Distance from well feet Permit valid for. Five yeah
Permit conditions: ❑ No expiration
Authorized State Agent: Q�1jS Date: (��30 I l 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu ermib. The permit holderis espamib for <hxking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat or the intended use changes. The Im ovement rmit s be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the law, and Rules for Sewage Treatment and Disposal and to conditions of this pemlp� 4)3a) l t
Reouired for Bujldjne Permit
The construction and installation requirements of Rules .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout , `,,
ISSUED TO: SC 1911s t �aFFo2C7 PROPFRTYInQTION• C`)C�TTA— Qtl
M F*w Ua LCL ��D SUBDIVISION LOT #�
Facility Type: Z New ❑ Expansion ❑ Repair
Basement? ❑ Yes �K No Basement Fixtures? ❑ Yes '><No
Type of Wastewater System*u N A L
GPDtWastewater Flow
(See note below, if applicable ❑)
0 KCOu Cir s p s t 575 (Repajr)
Installation Requirements/(onditions Number of trenches 3
Septic Tank Size S aC gallons Exact length of each trench N33 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 14q inches
Pump Requirements: h. TDH vs.
Conditions:
(Trench bottoms shall he level to +/•1/4"
in all directions)
GPM
Trench Spacing: I Feet on Center
Soil Cover: rc 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.
inches below pipe
8 inches above pipe
Va inches total
=Owner/LegalRepresentative
d the system qpe rpeciled it different lom the type speciled on the application. l accept the rpecilcatiks of thir permit
Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Com inction Authorization shall not be transferred when there is a chance in ownership of the site. This
Construction Authorization is su6ea to mm a provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Aut to Agents Date: G 3 D t y )a o)
aU-15 Constructlo uthorization Expiration Date: B so I Q�D'
HTE# n -5-41(.9()Q- Permit # `a' 46r)
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: MG�=)Lt
ISSUED TO: SUBDIVISION LOT #
Authorized State Agent: 2.( hs Date: t. I 0' S)
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