IPACHTE# 14- S-LAS3ASo Harnett County Department of Public Health 30102
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: BENS p,rNlN STarc SUBDIVISION S-ror+E SS LOT # 11
NEW>( REPAIR ❑ .[K PpANSION ❑
Type of Structure: 5P0 ( 4L*0 3 C 9 Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater Sirm T e: a5 � ee w esu lvg esu oe� �6 w -%Projected Daily Flow: �GPD
Number of bedrooms:�mber of Occupants: C" max
Basement ❑Yes 'XNo
Pump Required: ❑Yes '2KNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: �_ �� CLAN Date: -S IQ., ( IS SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iu- to of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremenn. 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 in 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 accordance
with the attached system layout
ISSUED TO: �NS t> nn sr.f STo 1y j
PROPERTY LOCATION:
5F9 ` �3�� SUBDIVISION Srro" a Ca.o55 LOT # 11
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes �15< No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** `as /a 9'�GoyC.Ta a,a S -Y3 TG r (Initial) Wastewater Flow: 3F'd GPD
(See note below, if applicable ❑) Q CPU MDP
py:' a C a_ & aeK (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size a00 o gallons Exact length of each trench 75 feet Trench Spacing: `) Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 inches
Maximum Trench Depth of. 1 ic� 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: k. TDH vs. GPM
Conditions:
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the rrrtem type speciled it diNereot Imm the type speciled on the app/iratioa / accept the rperifievioar of thin permit
Signature:
Date:
This Construction Authorixatio 's subject m revocation if the site plan, plat or the intended use changes. The construction Authomation shall not be transferred when there is a change in ownership of the site. This
Construction Authoriution 's subjad to with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent (C- Date: 5
truction Authorization Expiration Date: 5
HTE# M - s -
ISSUED TO:
Authorized State Agent:
�5�,so Permit # "3010
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ST�� %SUBDIVISION LOT# 1�
(�SV�t_i-4em- i0�Date: 5�a�1tg
'13 S
133,
7S .