IPAC RHTE #I'3—G!q3 CL Harnett County Department of Public Health 30130
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: Sucie`►--i CO SUBDIVISION Oonc.v„41•+ov5,rczN L Pwvc LOT #Z
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: (Z o 6 ws (:'� QSLa.
Proposed Wastewater System Type: G—vt wis%-4v v)Aei, Twv)L yCJ•$v7t
Projected Daily Flow: (!)sJ GPD
Number of bedrooms: Number of Occupants: is max crnpz.oy E.C,
Basement ❑YesNo
Pump Required: ❑Yes No ❑ May be required based on Final location and elevations of facilities
Type of Water Supply: ❑ Community '15L Public ❑ Well Distance from well feet Permit valid for: ❑ Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent: Date: C �s SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holder is res ruble for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocomm 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 provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The Constmction and installation requirements of Butes .1950, .19S7, .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: vc a FES t_r (20, PROPERTY LOCATION:
SUBDIVISION C)J N CP,,.r N C)y!5 day P4 2[ LOT #
Facility Type: Ccv+cgc—_ G& ❑ New L�Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** G— --b s sw L (Initial) Wastewater Flow: 300 GPD
(See note below, if applicable ❑) r S70
9-0P v t,.1 (Repair)
Installation Requirements/Conditions Number of trenches 16 S+t vG
Septic Tank Size L o 06 gallons
Pump Tank Size gallons
Pump Requirements: ft. TON vs.
Conditions:
M
Exact length of each trench
Trenches shall be installed on contour at a
Maximum Trench Depth of:
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
\ o ri.0ty Qa*Y
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
gPQoPo TarE inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / onderstand the system type rpealed is different from the type specified on the app/icadon. / accept the tpetibrationr of this permit
Owner/Legal
Construction Authorization
Authorized State Agent:
plat or the intended use changes. The Construction Authorization shall not be neaten
e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
a3 Date: F
Construction Authorization Exairation Date: 3
Date:
SEE ATTACHED SITE SKETCH
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