IPAC RHTE# )i I-5--' ❑nfA Harnett County Department of Public health
`n V1I~ Improvement Permit 26742
A building permit cannot be issued with only an Improvement Permit
` 4 PROPERTY LOCATION: M c--'0 o o G Ral-p
ISSUED TO: Z)P-IN -N) y'' si--~ P,mS SUBDIVISION fly."sa-l 'NA N 5 LOT #
NEW` REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M NA . ~l~rn 3 a=7``10
Proposed Wastewater System Type: a~°1o R~ovc;,- > os,4
Projected Daily Flow: 4 ® GPD
Number of bedrooms: y Number of Occupants: g max
Basement ❑Yes No
Pump Required: ❑Yes 7ff4o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '9 Public ❑ Well Distance from well 1®b feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: vg:-~-"5 Date: \1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss s oe 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 Impro 'urwq t ,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 TO: 0~'Z-4 k~~ 1~t,A,sn,S PROPERTY LOCATION:
SUBDIVISION ~~a~N^I ~~~1 ~s~,rr•~ LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes '1~ No Basement Fixtures? ❑ Yes 'XNo
Type of Wastewater System** `L 0 9-~-ott ~-c-, rc 1)-'*i-5'76J4\ (Initial) Wastewater Flow: i-Yy 0 GPD
(See note below, if applicable
pfd ~-C-~l-sc.'~ N c tit (2~ °y~ TE,r- (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size ® o 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench L®0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of- 1'q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: `~'l Feet on Center
Soil Cover: G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
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: /understand the system type specified is different from the type specified on the application. / accept the speciTcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is su ' o revocation if the site plan, '*t or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownership of the site. This
Construction Authorization is st~ ect tn,,compliance he visa okkee nd Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1Z- 11.
Constru thorization Expiration Date:
HTE# 11-13 -r-)D)534.
Permit # Ufa
1~1>G~~~~ Harnett County ]Department of Niblic Health
Site Sketch
PROPERTY LOCATON: MC: " ,c -~cL{> n
-SUBDIVISION U,ix,,3wi \~LOT #
Authorized State Agent:
Date:
Z.5C
sRg
(Control corner) 62° 03,
SRS
256.24'
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SITE PLAN A PPR VAL o
DISTRICTL JO,- C us O Da
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#BEDROOMS Deed E
Plot co
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Gary L. Williams 3
~ qJ M1
peed Book 721, Page 84 o
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