IPAC RHTE #)i 3° 5 "3Q5Q0'R, Harn,c County Department of Public e..ealth 27755
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C- vQ Nis 2,s -'%<3 tG- LN
ISSUED TO: M CYO -e- DES SUBDIVISION _ 0P,- s:—,-so ETC LOT #
NEW;K REPAIR ❑ Ex SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S �� C c.°� x � � 00 d y-: "o O:S(. —S
Proposed Wastewater System Type: Put �C 6 ,-) yCsSl0-�J
Projected Daily Flow: GPD
Number of bedrooms: -5 Number of Occupants: I _max
Basement ❑Yes A No
Pump Required :XYes El No El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well D QQ feet Permit valid for: Five years
Permit conditions: ��� ❑ No expiration
Authorized State Agent:: Date: 1- 15 I T-3 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holder i responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if t e site or t e ed use changes. The Improvem ermit 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 Sew and Disp f this permit..
>sG P 1-, ivy N c-:,, 1aausC:
Cons ion 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 IayouL
ISSUED T0: us L -C. PROPERTY LOCATION: Co u r) a->t s) p F. LtJ
SUBDIVISION Q)M, -r,0 -V LOT #
Facility Type: 5 �C� �6`f xt� X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes KNo
Type of Wastewater System ** Pycy',P— —0 2 /o SysSC.fe (Initial) Wastewater Flow: (�,QQ_ GPD
(See note below, if applicable ❑)
9UMR -1G '3-5 '/o 9c„ U.)V Cr, Ia,1 (Repair)
Installation Requirements /Conditions Number of trenches I
Septic Tank Size i 2.sa gallons Exact length of each trench 3--) 'S feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: Y'Q' 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: inches above pipe
Conditions: J C,,,;`; C- inches total
� -c -..-t C t~-"f "o u s £. S '� V(-,
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 app /ication. / accept the specilcations of this permit.
Owner /Legal Representative . e. Date:
This Construction Authorization is subject to revo Lon site n, 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 subjecFZZ wit rovisi o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Autho
Date:si
11-� Constr ' Authorization Expiration Date: ��
HTE Permit #
Harnett County ]Department of Public Health
Site Sketch
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