IPAC RHTE # I`)-S-ggI10 Harnett County Department of Public Health 30073
Improvement Permit
A building permit cannot be issued with only an ImQQr�ovement Permit
PROPERTY LOCATION: 11tZ (-�c>Zon (Z A 5n—
ISSUED TO: a-eiloSk2 - SUBDIVISION LOT # J—
NEWrt REPAIR ❑ EXPANSION p
Type of Structure: 381— �y.�sx4gl Ak..�/`A 1{
Proposed Wastewater System Type: 'c fL.l v�nn Srs.
Projected Daily Flow: 3%C) GPD
Site Improvements required prior to Construction Authorization Issuance:
Number of bedrooms: G Number of Occupants: _ C, ax
Basement Dyes o
Pump Required: ❑Yes No ❑ Ma required based on final location and elevations of facilities
Type of Water Supply: ❑ Community public ❑ Well Distance from well l 0.34- feet
Permit conditions:
Permit valid for.
iB'Fve years
❑ No expiration
Authorized State Agent: L,',.�d'! 2 �5 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu re of other permits. The permit holder is responsible 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 provisions of
the Laws and Pules 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, .1957, .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 T0:52nt1viQ� too ��je n PROPERTY LOCATION: J if tAC�. f) Q-A .�5(1- 1-04)
SUBDIVISION LOT #
Facility Type: 16L;2E3 )44 j C qEd- New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a6z OZAVII:gin (Initial) Wastewater Flow: 13�-U GPD
(See note below, if applicable ❑ �/�
LAP 7 26 1 OtLA, Sts- (Repair)
Installation Be uirements/Condition- Number of trenche�s -Y
q
Septic Tank Size KY20
gallons
Exact length of each trench 'BO feet
Trench Spacing: 7 Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: /6 inches
Maximum Trench Depth of:P 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
&Jik inches below pipe
Aggregate Depth: IJ & inches above pipe
Conditions: nj� �ftii
, x
-fit Sir �� �� � y
ro �, NAt 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: / undentand the system type speciTed fi different from the type specified im the app/icatim, l accept the rpedfcadonr of this permit
Owner/Legal Representative Signature: Date:
This (instruction Authorization is subject 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
instruction Authomaton is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEt ATTACHED SITE SKETCH
L
Authorized State Agent:�'
-;G� Date: 4I �^ I aole
Construction Ati6orization Expiration Date d'1'O(.jjjfaqs
HTE # 1` --6-4`i 0 Permit # 3 cnc>23
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: 1 V �AC3b5Cy) 5tir:kD)—
ISSUED TO: S�—nn�( 5h torr� SUBDIVISION LOT #
Authorized State Agent: =� _.�rs�L Date: tom\
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