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HTE# 11' 5-rL Harnett County Department of Public Health 27833
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Qp PROPERTY LOCATION: t1: r I< tR�1ca r.ar /Rd.
ISSUED TO: [� A ✓ �s a lJ�.c��.r: nvt a yQ.v�a SUBDIVISION LOT # 3
NEW 2' REPAIR ❑ r EXPANSION ❑
Type of Structure: f'rO (, O }(► I v
Proposed Wastewater System Type: 1S7a
Projected Daily Flow: (,00 GPD
Number of bedrooms: 5- Number of Occupants: /y max
Basement ❑Yes ON
Pump Required: ❑Yes ❑ No M May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public 2 "Well Distance from well /00 feet
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for:
0-Five years
❑ No expiration
Authorized State Agent:: 2,_-4e!!—_ f`��,G; -�, �� /J Date: J /=26 /a °/Y SEE ATTACHED SITE SKETCH
The issuance of this permit by K Health Department m no way guarantees the issuance of other 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, pla4 or the intended use changes. The Improvement 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: sir ,,�',vc.s A'Aar-`a�QrGY PROPERTY LOCATION: K,rlk Aerryed.
SUBDIVISION LOT # 3
Facility Type: S1—' 0 � New ❑ Expansion ❑ Repair
Basement? El Yes C No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** 9,s7J ,/ZP - AQ (Initial) Wastewater Flow: a GPD
(See note below, if applicable ❑)
.,,,s-7G (Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size 15-0 gallons Exact length of each trench /So feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: - 8 inches
Maximum Trench Depth of. /8 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��(�P� ":� C ,-�-.^ t �,� i-� r.ee �'aA f /���//�'.� >� >t� ,�l tY_,^� 1�I o �Irtt�ti� inches total
1 �tr6.. n T• e.icl �.d a f— i"e� r a✓e�. , ..L-T T'ol' svr."�*+�� Cavt/�s� fie �c.��o Y2�.f c` +Oa .n.ED �,�� uJ'�
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 diNerent from the type specified on the app /ication. /accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, 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 subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State A¢ent: .,6 `' ��.,. Ic-e & Date: -3/Z(9 /0121, /S/
Construction Authorization Expiration Date: 0_ 6 /'jLQ/ 9
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HTE # /i- S' �-77� j A 6
Permit # n;0 633
e art ent of 'Vblic Health
Site Sketch
QQ PROPERTY LOCATON: 1k-, rk 4J o- r .. J.
ISSUED TO: Sr, A'.Vrgf "% vUa.�ar: �t� �a�i0.nca SUBDIVISION LOT # �
Authorized State Agent: �r"�af Date: 3A(Q /ZQ/Y
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