IPAC RHTE# t G --5-463i(,2 Harnett County Department of Public Health 30085
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit 5� 1���j
PROPERTY LOCATION: 43 5 jX4JE WICA' tJ
ISSUED T: f�CL
Dt" COAU.CAt:a� X=e SUBDIVISION M cj- (EEPKc0 LOT #'a
NEW REPAIR ❑ EEPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: c4Q1L 30"x5dt 5f=K7
Proposed Wastewater SystemT pe: Q{�kA
Projected Daily Flow: 4Cc GPD
Number of bedrooms: — Number of Occupants: max
Basement []Yes Cse
Pump Required: flp yy s�� ❑ No ❑Mayulred based an final location and elevations of facilities —
Type of Water Supply: ElCommunity Public ❑ Well Distance from well ryA feet Permit valid for. W-F"ne years
Permit conditions: ❑ No expiration
Authorized State Agent::--t;�',-,�- u > C,�1r�.�-T � Date: cl'-�� 6G QCV P' 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 c "king with appropriate goeeming bodies in meeting their requirements. This
site is subject to revoution 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 construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
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ISSUED TO: OC L" COt'vi& t7 s Snt L PROPERTY LOCATION: a 5�� M6TVZ1 Dr -11 ►.nen a,
SUBDIVISION �C.�- P'\04-0- LOT
Facility Type: 2 Vel X s 15*S7 I� ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 0iMp {Q',�h fZa:k%a kbc N _ bir3 � (Initial) Wastewater Flow: � GPD
(See note below, if applicable 11)1
16ma6 % (Repair)
Installation Requirements/Conditions 1 Number of trenches _2
Septic Tank Size L 6(`�O gallons Exact length of each trench �S� feet Trench Spacing: Feet on Center
Pump Tank Size 1000 gallons
Trenches shall he installed on contour at a
Maximum Trench Depth ofi P !4= inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Soil Cover. /Z inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
NA, inches below pipe
Aggregate Depth: 11' -J inches above pipe
N inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
***I�pliable, / understand the system type specified is different from the type specified on the app/icadon. / accept the specih'catioar of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revoadon 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 Authorization is subject to compliance with the
of the laws and Rules for Sewage Treatment and
and to the conditions of this
Authorized State Agent:�1�� a� � 1- 5 Date: ct' 4-
C- o e-g-xf
"Gve-g-xf a Construction Authorization Expiration Date: _0
SEE ATTACHED SITE SKETCH
HTE# -Llb3IG2 Permit # 3C)C>S6-
Harnett County Department of Public Health
Site Sketch
S2 u39
PROPERTY LOt ATON: i ngu. R.��
ISSUED TO: rn( Leu din qtr SUBDIVISION YA oj44! i_. P I4C0_ LOT -,-Z
Authorized State Agent: IJSDate: 0�+I ot^o ja ,/a
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