IPAC RRHTE# 15--S-%346G9L Harnett County Department of Public Health 30059
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: pCfl l M. 56Ce 1 SUBDIVISIONy L
NEW Ica REPAIR ❑ EXPANSION ❑
Type of Structure: 3032 CntR X143) f
Proposed Wastewater System Type: 96`x' 6422s.S.
Projected Daily Flow: 3GC:l GPD
Site Improvements required prior to Construction Authorization Issuance:
Number of bedrooms: —3 Number of Occupants: C, max
Basement ❑Yes 5-1o
Pump Required: ❑Yes ❑ No f� May bbuulreedd based on final location and elevations of facilities
Type of Water Supply: ❑Community ubLs�P lic ❑ Well Distance from well rj%c feet
Permit conditions:
Permit valid for:
veG7-F"years
❑ No expiration
Authorized State Agent:: CTG o Date: o.�It-, / - ?D/ 4—:; SEE ATTACHED SHE 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. of 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 construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1956. 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 T0: CV -,C6 PROPERTY LOCATION: per. (sq_ 1S38�
SUBDIVISION LOT #
Facility Type: 32�' CoITX 435 6E:Z�> p ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"* 2�6% b544� (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)pp
\Tn n SSvs (Repair)
Installation Requirements/Conditions Number of trenches ycii c,
Septic Tank Size I (XXS gallons Exact length of each trench Cg C> feet Trench Spacing: / Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. ) --) inches
Maximum Trench Depth of: 2,14-311 rinches (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 n/ inches below pipe
Aggregate Depth: NAw inches above pipe
Conditions: C7tJ 7J rvN inches total
WATER LINES (INCLUDING 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: / understand the system type spec/led is different from the type speciled on the app/iratioa / accept the speulrations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authonation u subjece to revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be morterred when there is a change in ownership of the site. This
tonstmaion Authorization u subfea to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:I ((O�a01�
Construction Authorization Expiration Date:I-Q02-3
HTE #-3G3:4 tSQCL Permit # 30c—"�EF7
Harnett County Department of Miblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: EYlulnry CzC C 5� lS38i
SUBDIVISION V LOT #_
Date: C,6—I I (, % o?� ,l e
�NO
i
rL-17 l-� t 53c��
Hca----