IPAC RHTE# 10 - 5 Harnett Lonty Department o Public earth 26102
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Q PTuL5 C.%A
ISSUED TO: pc>,e~ -\EQ- C. CadE c- SUBDIVISION Es `~P~zn races LOT # I
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 15 c'9 LLIo',(' O=
Proposed Wastewater System Type: Co N ,,.r „r-5 v ~N r r fk t
Projected Daily Flow: -_~,Cn0 GPD
Number of bedrooms: 3 Number of Occupants:' max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: 11 Community Public El Well Distance from well 1 O U feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: . tZe'i~5 Date: S P51 1C) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the t{dnce of other permits. The permit holder is respo Bible 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 Imp ovement 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, .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 T0: PROPERTY LOCATION: S~parzoc~,
SUBDIVISION Sa r,t atuzP~ LOT # I
Facility Type: XNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes )KNo
Type of Wastewater System** (Initial) Wastewater Flow: 3 0 GPD
(See note below, if applicable
i,.rNF_nr:~ v r'J K1- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size Lc!~, d 0 gallons Exact length of each trench l00 feet Trench Spacing: ~ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: y,V. 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. TDH vs. GPM inches below pipe
Aggregate Depth: 7, inches above pipe
Conditions: ~AStJa Lam E ~~s- E `Q mac,,, S cis C S )`s TG-r, p V "c S ES 12 inches total
V~eyt~nv ~c,i aPC 1N, s a>_ Ua~'Q~cl @,a,G•
**If applicable: / understand the system type spec/lied is different from the type specified on the appl/cation. l accept the speciFcations of this permit.
Owner/Legal Representatf~: Date:
This Construction Authorization is subject to revocatio a site at, 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 sub ect o compliance th to f t ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ~S Date: s 1®
Construc ' Authorization Expiration Date:
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DLjbN"C,--,V L-0~~„eray c.~aANcCrj-s~E s»S.s ~c-~1
HTE# 1 0 5-azt j- Q-j Q, Permit # a4. 0
Harnett County Department of iblic Health
Site Sketch
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