IPAC RHTE# Harnett County Department of Public Health 29818
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
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PROPERTY LOCATION: PONOELLOSA
ISSUED TO: ) -7 o�C 9>0 ) wcab \r A c. SUBDIVISION — LOT #
NEWW'X REPAI ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF'9 LSS wC /(���L0
Proposed Wastewater System Type: QZVeo `F0,1ji\ON Syr6tr
Projected Daily Flow: GOO GPD
Number of bedrooms: L Number of Occupants: 10 max
Basement []Yes �KNo
Pump Required: ❑Yes '9 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "E4 Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: »7 Date: 13 Ya 11 1 } SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees toe issuanc a er permiLL The permit holder n rssponsible 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 Improvem mi 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 perm ..
OFiaj C)Qa) t�
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .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 t�
ISSUED T0: I--YoN �y S Opti � N L PROPERTY LOCATION: Tots &Lc sp,
SUBDIVISION LOT # a.
Facility Type: `�F0ESS"�1� New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes 'XNo
Type of Wastewater System" aS% 0 4 Sy�Tf� r (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
D-�% P C1D- (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 1'a.S0 gallons
Pump Tank Size gallons
Pump Requirements: (t TDH vs.
Conditions:
Exact length of each trench 2'A0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: It - inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: �1 feet on Center
Soil (over. Ea- 10 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IV[ FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"'If applicable: / understand the system type specilred it different from the type specibed on the app/kation. / accept the specilcationc o/this permit.
Owner/Legal Representative Signature:
Date:
This Construction Authonzatmn is subject tore ion if the sin 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 subject m compliance with misions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authth 'ze� a Date: Ica J a> >7
. liltruction Authorization Expiration Date:
NTE# S i -5- �la�d576L
Harnett County
ISSUED TO:
Authorized State Agent:
A Q%
Permit # a NN't
Department of Public Health
Site Sketch
PROPERTY LOCATON: Po No 5p i
SUBDIVISION — LOT #
Date:
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