IPACHTE# 11-5 t-Y3'�(I`i Harnett County Department of Public Health 30103
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 11 v « a 04,
ISSUED TO: 1—Arncp CuS'dm aystgW SUBDIVISION --f—% 6r. YctvT6 LOT # ilk %A
NEW REPAIRq NSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S Ffl 103 '� 3 G) El
Proposed Wastewater Sys& yter yerna'T o2I-Vo ViessurxsovSv3�EM
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: ro max
Basement ❑Yes No
Pump Required:�es ❑ 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 valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 51301)`6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the f other permits. The permit hold , spons k for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, pla4 or the intended use changes. The Improve t Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisiom 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, .1951, .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: "-N C-. o C%h-syr. 9Dv ss_o6nA PROPERTY LOCATION: J u N = Za
SUBDIVISION �sN 46w 9Q% -J-5'6 LOT # I3SP`t
Facility Type: S� tb3"3G� XNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ?ume—Tu a -S-% 6ovGTtoaJ SlYI16wn (Initial) Wastewater Flow: 3b O GPD
(See note below, it applicable ❑) r u r ,sQ 1 o c) -S 10
�.S'1ys. (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1 b 6d gallons Exact length of each trench a2S feet
Pump Tank Size s oo a gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Tel 'an inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: (t. TON vs. GPM
Conditions:
Trench Spacing: '71— Feet on Center
Soil Cover. C -"� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES INCLUDING IRRIGATION) MUST BE IOFT. 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 appliabic / undeatand the system type specified is different Imm the type specdied on the application. / accept the speciation of this permit
Date:
This Construction Audra a ect to reraation if the site plan, plat, at the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authoriation is subject to comp ith tha,pr`visions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: � ����, 'Tij Date:
Authorization Expiration Date: s
HTE# A -`J'Ll3r1b`i
Permit # 36 1 03
Harnett Comity Department of ll�iblic Health
Site Sketch
PROPERTY LOCATON: J 0r o 'Da-
ISSUED
2ISSUED TO: ILQ / SUBDIVISION r. r. ATE LOT#SSSQ�
Authorized State Agent: =C*SS CaLl., 6Q- 7 01 KSap(b Date: 30I1�'
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