IPAC RRHTE# �s-s 'sly►3(1(L Harnett County Department of Public Health 28638
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: t ,G J W D.
ISSUED T0: SUBDIVISION —1 cng5 Au oCL LOT # Tj_
NEW gg��ppp��R Ex ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'OK5 �Us x
Proposed Wastewater System Type: So c, V<Av , t 0-4 3 .
Projected Daily Flow: 3k>O GPD
Number of bedrooms: 3 Number of Occupants: IQ max
Basement []Yes �No
Pump Required: ❑Yes � No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t hCG feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: �`—\� Date: 1 f ), I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iuuanre a rmits. The permit holder u responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat 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, .1958, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in mrdau
with the attached system layout
ISSUED TO: Fit'
Q_.o , PROPERTY LOCATION:
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SUBDIVISIOIII 'v1h1;:.'5
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Conditions:
'Ts s"rydiL LOT # _I
a p
Facility Type: )S
New ❑ Expansion ❑
Repair
Basement? ❑ Yes "G No Basement Fixtures? El es ' o
Type of Wastewater System** C �l rept„
CJ t S7 e '7Gly\
(Initial) Wastewater Flow: 3 0 GPD
(See note below, if applicable ❑) ^mac
i�cj
n/
�S < V-00
T U mP
r/ • (Repair)
Installation Requirements/Conditions
Septic Tank Size l oo d gallons
Number of trenches 1
Exact length of each trench a3D
feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil (over. inches
Maximum Trench Depth of: I '�,
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:
h. TON vs.
GPM
inches below pipe
Q
Conditions:
VN SCS
a p
Q
` Z c 4 d��cr �k.m
Aggregate Depth:
1.' allr S ) S5
inches above pipe
inches total
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: / underrtand the seem type speciled it different from the type speciled on the app/ication. / azzept the rpecilra&i mf of this permit
Date:
This Construction Authorization is s revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there z a change in ownenhip of the site. This
ConstructionAuthotiution is subject m compl' ns of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: s 1 Lt .
ction Authorization Expiration Date: )t Q.
HTE# 15 - 6 13 Q2 Z
ISSUED TO: ,A
Authorized State Agent:
Harnett County
It . C
Permit #
Department of Public Health
Site Sketch
PROPERTY LOCATON: W "6Go N W p.-/
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