IPAC RRRHTE# ti -`��� 2�cZ Harnett t ounty Department of Public HeallLd
Improvement Permit 26655
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: yc,SZ; u.S
ISSUED T0: -_ rc SUBDIVISION `J-�y s�,t= �ia o5� LOT # 105
NEW, REPAIR ❑ r EX SION ❑ , Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1 3`$ 51
Proposed Wastewater System Type: R0 t).'f
Projected Daily Flow: 3 Q) C) GPD
Number of bedrooms: 3 Number of Occupants: 1�, max
Basement ❑Yes No
Pump Required es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -kl Public ❑ Well Distance from well ® feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: "��� Date: } SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no uarantees t i ' lance of other permits. The permit holder is res onsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or th i ded use c he Im ent 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 Treat ent an Disposal an ions of t i
Construction orization
(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.
9 �,,1t7t1iS�SJ
ISSUED TO: > d N PROPERTY LOCATION: 6Q,"A -5
11 SUBDIVISION S 7 V N CV -0.5.5 LOT # tO5
Facility Type: S �. " 5 } J , New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 9� No
Type of Wastewater System ** RV Irg l Si Z'� 710 9- f -'O yGSt D �Y 57'C^ -N'� (Initial) Wastewater Flow: _� GPD
(See note below, if applicable ❑)n
1 V (-')Q d �- °fo V -,aUaaO':� (Repair)
Installation Requirements /Conditions Number of trenches Q-
Septic Tank Size 1 gallons Exact length of each trench -1 S- feet Trench Spacing: Feet on Center
Pump Tank Size �_ 0O C) gallons Trenches shall be installed on contour at a Soil Cover: 6 inches
Maximum Trench Depth of: \% 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
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Conditions: �Es1,��-� �s £� O •�, Poo o Q05 Al-- �f2 err. cPA0'S-5 b6llffAfib, inches total
�5
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 lication. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, olaL or the intended use changes. The Construction Authorization shall not be transferred when there k a rhnnac in nwnarchin of rhn ara Thor
Construction Authorization is subj�o compliance s s ,tom isio of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
Authorized State Agent ;::: PJ---'V�5 Date: !1 1'fz�,!
truction Authorization Expiration Date: `Q 1�
SEE ATTACHED SITE SKETCH
e
M
HTE # � I —E) ° CLQ�Q- --
Permit # `� �G 55
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: O v
ISSUED TO: r SUBDIVISION �C��c S� LOT #
Authorized State Agent: R�\\'S (91 -i16'L ?c�� —x 'o2� Date: � 1l
,sG o 2111 ?�
75/