IPAC RRHTE #
l(o-5 -y6-Z6 40Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: /VLis C'. t+S��
ISSUED T0: (La\0e.c-c— �A n 0 n -2 r' �-c. SUBDIVISION LOT #
NEW I/ REPAIR ❑ EXPANSION ❑
Type of Structure: 5 6 (Z-- S r— o
Proposed Wastewater System Type: 2 5% tLA,,c 'ces S- s6c &. o
Projected Daily Flow: Co 0 O GPD
Number of bedrooms: S Number of Occupants: 10 max
Basement es ❑ No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: EMs ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Iblic ❑ Well Distance from well feet Permit valid for. Dive years
Permit conditions: ;—�R ❑ No expiration
Authorized State Agent: Date: 4:tj —ik SEE ATTACHED SITE 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 it 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 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: (006 rii;- AnnUnv-'C'fH PROPERTY LOCATION: J0119 l &url Q- lS R- ly3
SUBDIVISION
Facility Type:f J few ❑ Expansion El Repair
Basement? Yes ❑ No Basement Fixtures? L`�f Yes ❑ No
Type of Wastewater System** 16 �/o 2c.� Qc 1f c, in, Sys Len ( (corn E)
(See note below, if applicable ❑)
Z51�1{".acS .,.n 5VSt"�( -± )(Repair)
Installation Requirements/Conditions Number of trenches a+'
Septic Tank Size / Z 5 + gallons Exact length of each trench /50 feet
Pump Tank Size f Z 5 6 4 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
LOT #
(Initial) Wastewater Flow: Gy6 GPD
Trench Spacing: 9 Feet on Center
Soil Cover. / % inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
inches total
WATER LINES (INICLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / uaderrtand the system type specified is different ham the type speciled on the application. / accept the specilcarrims of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the sito plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there u a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
kthgEi;edState Agent Dat
Construction Authorization Expiration Dat S
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HTE# `io t 83Permit # Z g Z FT
Harnett County Department of Public Health
Site Sketch
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` PROPERTY LOEATON: l 99 6a11c rc� (2� . S (L 143-9)
ISSUED TO: '20'Oe-r-Ac. AOno n�, c.SUBDIVISION LOT #
Authorized State Agent
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