IPAC RHTE# -s-11S-I _ Harnett County Department of Public Health 2 5 6 8 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: \y 4t LL L.kj c PAs
ISSUED TO: '~-~S Q u \\.~~p,5 SUBDIVISION _CRao~-~~p. Oa s LOT # ~R_
NEW' REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 ( y y ~3
Proposed Wastewater System Type: 3,61,3 REzuc;N o,,4 Sin-s~s,\
Projected Daily Flow: _m GPD
Number of bedrooms: Number of Occupants: ro max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well lO0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: ~1 a SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i e of other permits. The permit holder is res 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 Impro ment 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: 4F-'~ PROPERTY LOCATION: LL` t vc~5 Q p
SUBDIVISION QP r4.0\-\..r P, Oc~~s LOT # _IV_
Facility Type: SFpLLt'-i x~~ X New ❑ Expansion ❑ Repair
Basement? ❑ Yes, No Basement Fixtures? ❑ Yes No
Type of Wastewater System** (Initial) Wastewater flow: 34,0 GPD
(See note below, if applicable
`a-G°/e R~ov~.c,as Syt)T&t1, (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size too cv gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: X'A-34, inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: yP,,rr- U
0,4 cc, -E Yu-N 4- (L0'~ V4,D^ Sl9.5%C" tisz
Trench Spacing: "'l feet on Center
Soil Cover la-a.1t inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
I v ,\L1'C\ rsS ~Qh•~
inches below pipe
inches above pipe
inches total
**If applicable: / uaderrtand the ryrtem type specified it dilterent from the type specified on the app/ication. /accept the specifications of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect tn-ravnratinn if rho tiro Ian ntor ,,1 the ;,,.e„A„A .i,---- . TL.
°-°a-~• 11Ut uc un13irneu wnen mere is a mange in ownership of the site. Ns
Construction Authorization is subject to compliance h vagns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: q a3 0r1
Co uction Authorization Expiration Date: L a°L 1
HTE# M"D-)n 5c►6 (L Permit # a5 6g0
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: `41, - Lvc PD
ISSUED T0: SUBDIVISION c-A2ov~~, A O A~~ LOT
Authorized State Agent: Q EhS (Q~~„ ~(oL1~Dp Date: x`1101
X06