IPAC R30043
HTE# Ig -s y,t� Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
nn PROPERTY LOCATION: L G C
G oy w;: --i LN ti E
ISSUED TO: N-'" -� N G%% CKL00 G}{ SUBDIVISION LOT #
NEW
REPAIR ❑
ERP NSA 10 ❑
of S
Type of Structure:
ir1Aa
ii.on.C. Ci�6`���9'(+,
Proposed Wastewater
System ,Tzpe:
2.070 j26[>tro'1T0N S -tactic..
Projected Daily Flow:
GPD
Number of bedrooms:
umber of Occupants: max
Basement []Yes
No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
El
Type of Water Supply: Community 1" Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Agent:: : 7l5 Date: 5
1 S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees ` race o ermin. The permit holder is res onsible for deeding with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, a the intended use flanges. The1n ent Per be affected by a change in ownership of the site. This permit is subject m compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. '13 &1 X-) j l�
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .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: 5��6y ��(:re2OcmV(.L PROPERTY LOCATION: V-6& COVN-'Y L..\,af JD
FV SUBDIVISION LOT #
Facility Type: M tq N iib o r^ E New ❑ Expansion ❑ Repair
Basement? ❑ Yes )< No Base ent Fixtures? ❑ Yes ❑ No
Type of Wastewater System" aSo�o a CGDU(�(�0 �, S�/STEK. (Initial) Wastewater flow: 3roO GPD
(See note below, if applicable ❑)
'Z .S 7a RGove1S50 a I SyS . (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size gallons Exact length of each trench -7,S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: A - Q" s inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
'"If applicable: / understand the ryrtem type specified it different from the type rpedled on the application, / accept the rpeciifcationr of tier permit
Date:
This Construction Ruth ub'act to revocation if the site 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 AushoriaationisAubject to com A the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: S 11.
Authorization Expiration
NTE#
Harnett County
ISSUED TO:
■✓tiS[3 1,
Permit # 300 - 3
Department of Public Health
Site Sketch
PROPERTY LOEATON: LEe CcuNJTY L� r G �o
SUBDIVISION LOT #
Authorized State Agent: w°'» `5Lv&2ioLlc� Date: S a
Y LA