IPACHTE# Harnett County Department of Public Health 28619
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: q'1O
ISSUED TO: CH V GIG S +1 ley SUBDIVISION !6"CC—, 2,ta,Q. GSC . LOT # BG
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M s_>, a . N3omE. a '
Proposed Wastewater System Type: 7SVe U=;Z)0as -,i" rn
Projected Daily Flow: 2>(:,nGPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well 'L C�) 0 feet Permit valid for. Five years
Permit conditions: S _ ❑ No expiration
Authorized State Agent:
The issuance of this permit by the Health Department in no way guarantees the is
site is subject to revocation if the site plan, plat or the intended use changes. The Impr
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date:
SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for [hiking with appropriate goveming bodies in meeting their requirement. This
Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirement of Rules .19So, .1951, .1914, .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: C-4-1 v G� cn T'SaA PROPERTY LOCATION: (Y) d P, ,C
r _ SUBDIVISION SwGe-t LOT # SG
Facility Type: iioc'�56� New ❑ Expansion ❑ Repair
Basement? ❑ Yes -fq No Basement Fixturgg{{7 ❑ Yes -KNo
Type of Wastewater System** a.�olo ;+L1) QC.i. n n, S-'S"�GnrN (Initial) Wastewater Flow: 36 G GPD
(See note below, if applicable ❑)
aS �l o
Installation Requirements/conditions
Septic Tank Size 1 O 0 V gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
V-.Gp J oz � 0 N (Repair)
Number of trenches
Exact length of each trench O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. Q1`1 —30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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: / undersuad the system type sped6ed is different from the type specified on the app/icadow. / accept the rpecifeadonr o/ this permit.
Owner/Legal Representative
construction Authonzavon is
Authorized State Agent:
�r the intended use changes. The Construction Authorization shag not be translen
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
a Date: I3
Cons Ston Authorization Expiration Date: _
Date:
SEE ATTACHED SITE SKETCH
HTE#tJ-5 3 6 `4 (-) Permit # a��l
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0:v� SUBDIVISION SwEG� ,,v.Q �s1' 6
LOT # 5
Authorized State Agent: '� O:� (9U,4E� 70L)<SD0 Date:
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