IPAC RHTE# ~ t Harnett Lounty Department of Public Hearth
Improvement Permit 2 6 7 2 5
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C-)Qcz,&5S C',v ca to
ISSUED TO: U ' d "A N SUBDIVISION C~ Q<L~ LOT # '-1
NEWNX REPAIR ❑ XP SION ❑ > Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5! ~ ~
Proposed Wastewater System Type: Q me o fay } o+~
Projected Daily Flow: ~4U GPD
Number of bedrooms: Number of Occupants: 1021 max
Basement ❑YesI No
Pump Required: Ayes ❑ No ❑ May be required based on final location and elevatte facilities
Type of Water Supply: ❑ Community '~K Public ❑ Well Distance from well 1 C7 0 e Permit valid for: Five years
Permit conditions: ❑ No expiration
c_r-__ f NG
Authorized State Agent:: Date: 1) $ 1 E ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the a of other permits. The permit hold is sponsible 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 Impr 4ient 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, .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 TO: ice, ON C. PROPERTY LOCATION: C-yk Q-&s5 mo-A '~_D
~7 SUBDIVISION C-)PCzcs, o~ lvz Inr tt
Facility Type: S VCS J'~ - X New ❑ Expansion ❑ Repair
Basement? ❑ Yes M No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Q Q M?_70 4. /o Y~Gfly ; ~Grr, (Initial) Wastewater Flow: I-V d GPD
(See note below, if applicable
V v -Q~o l a Ov(2:) orJ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size do®O gallons Exact length of each trench C, 6 feet
Pump Tank Size t O ® SJ gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: Co inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 di/feIr eflt from the type .rpeciled on the app/icatiom / accept the specificatim of this permit.
Owner/Legal Representative Signature: -
This Construction Authorization is subject to rev . th
Construction Authorization isct tQ compliancewtith the
Authorized State Agent- N
U c,St,D 31-~8 1'X
site plan, plat, or the intended use changes. The
Date:
Authorization shall not be transferred when there is a change in ownership of the site. This
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date:
Authorization Expiration Date:
HTE# jj Permit # ~IC Y15
Harnett County Department of Public Health
Site Sketch
ISSUED TO: ~e
C
Authorized State Agent:
PROPERTY LOCATON: Q-I() a-Css ()rte ~j
SUBDIVISION a 1 N7- LOT #
~S ~SJt,~v£lZir,2 Date:
IN,
t16/
n d
,p 14,-1