IPAC RMITE # 15- 5=iS733Harnett County Department of Public Health 28607
Improvement Permit
A building permit cannot be issued with only af} �Improvement Pepmlit n
PROPERTY LOCATION: Ks5c—SL 1 s�MDAN i_D
ISSUED TO: I f t "L5c4 . God t k TANGSP SUBDIVISION LOT #
NEW'X, REPAIR ❑ UP ❑
Type of Structure: Moir)(
Proposed Wastewater System Type, 2 e• P 5
Projected Daily flow: Z,+ �� GPD
Number of bedrooms: _L Number of Occupants: Is max
Basement ❑Yes XNo
Pump Required: []Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public X Well Distance from well I C5Q feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 16 SEE ATTACHED SITE SKETCH
The issuance of This permit by The Health Department in no way guarantees the issue cher permits. The permit holder Is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to tevocatian if the site pian, plat or the intended use changes. The ImproneminAlskimit 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.
Site Improvements required prior to Construction Authorization Issuance:
Construction Authorization
Reauired for Building Permit
The instruction and installation requirement 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: t L"S5ii9 S P+N�tP PROPERTY LOCATION:
2osa P -r mA s Q.o
Facility Type: 4"100
SUBDIVISION
New ❑ Expansion ❑
LOT #
Repair
Basement? ❑ Yes )�q
No Basement Fixtures? ❑ Yes )<No
Type of Wastewater System**
--T,(Lrd
C.N=t -,95
(Initial) Wastewater flow: Li' 0 GPD
(See note below, if applicable
❑)
POI
PVn
/ 9
e�o
0 X.D (Repair)
Installation Requirements/Conditions
Number of trenches t
Septic Tank Size t 000
gallons
Exact length of each trench
feet Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover. inches
Maximum Trench Depth of. 5i,
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. TDM vs.
GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions:
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.
inches total
**If al lip cable: / understand the . vstem type spechfed is different from the type spedled on the applicatioa l accept the specifications of this permit
Representative
Contraction Authorization is
Authorized State Agent:
use
Laws and Rules for Sewage Treatment and
nation shall not be transferred when
and to the conditions of this permit
Date: s) ) -
Expiration Date: L
Date:
it a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# �J' S 3%�3'�Q— Permit # a-1 CO--?
Harnett County Department of Public Health
Site Sketch
PROPERTYLOEATON:
ISSUED T0: t l5 _ �2y , �° ^ P SUBDIVISION LOT #
Authorized State Agent:
CA O N a N
S l i G
Date: a 1191 tS