IPACHTE# M-S-Li190 Harnett County Department of Public Health 30104
hDrovement Permit
A building permit cannot be issued with only a rovement rmu
a PROPERTY LOCATION: v N 8 2,
ISSUED TO: L-Ace-%cx �S oc+ 1� u T toO(aS SUBDIVISION ��iro GE ti o s wrS6 LOT # 154-1.A
NEW'K REPAIR IF PANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SCO `a._ r3 iv
Proposed Wastewater System m�ypu,,) a````T- QS7a- kvzyc t Dan Sys>trn.
Projected Daily Flow. 3 GD GPD
Number of bedrooms: 3 Number of Occupants: max
Basement Dyes XNo
Pump Required{ies El No El May be required based an 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:: KLSc�5 Date: 5 3 0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the nlh Dpanmenl in no
ealeway guarantees t ce of other permits. The permit holder is respo sibk for checking with appropriate governing bodies in meeting their requirements. 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 to compliance with the pmyisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permitl
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1951, .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: (-utF—, otn R>01-015-15 PROPERTY LOCATION: 0 Da.
SUBDIVISION is N G Gro 411 o a,J SC- LOT # 15XPN
Facility Type: �� ^36� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Pu rf ) ta 9-eS7e 9\5`1;) We T(ow S �t� (Initial) Wastewater Flow: 3L o GPD
(See note below, if applicable ❑)
V m4 T < 4SI° REP • 5 73 . (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size o o O gallons Exact length of each trench as 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. q 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: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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 applicable: / understand the system type specified is different from the type spedhed on the application. / accept the fpecifmw ons of this permit.
Owner/Legal Representative Signature:
Date:
This Construction Authorization is subject to revocation if the sire plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subjft to ith 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:�� A5 Date: ' 36
Construction Authorization Expiration Date: 5 '
HTE# 1*%" 5-t-1396
Permit # 30A04
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 0 DQ-
ISSUED
Q2ISSUED TO: Lbul,0' SUBDIVISION -'�Nacsu 90)a7,C LOT # 15d�
Authorized State Agent: QZ0 61.16L`roLXSOb Date: `$ 13 011
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