IPAC RHTE05-53--71 -K HarnL.L County Department of Public tr�alth 28634
Improvement Permit
A building permit cannot be issued with only an Improvement Pt
r N CPROPERTY LOCATION: fl ops �O
ISSUED TO: N Cc, SS �y L�OC2-S SUBDIVISION Oct, Y -X Q fC LOT # CA -a-_
NEW REPAIR ❑ f NSION11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5�9 CsxS'S 50'^39
Proposed Wastewater System Type: o -oV P.; t CS '4
Projected Daily Flow: —71`61E)4C GPD
Number of bedrooms: Number of Occupants:.maz
Basement ❑Yes I
Pump Required: Dyes >10 ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ;K Public ❑ Well Distance from well 1 O 0 Net Permit valid for. ❑ Five years
Permit conditions: ❑ No expiration
Authorized State Agent: \�
The issuance of this permit by the Healthtit in no
site is subject to revoadon it the site plan
the laws and Rules for Sewage Tteathgent and Drs
Date:
SEE ATTACHED SITE SKETCH
the issuaucoof other permib. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements This
�s. 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
Reauired for Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by referemas into this permit and shall he met. Systems shall be installed in accordance
with the attached system layout. 14 �
ISSUED TO: 5—1 ki Gaxss (WCKGQ,'5 PROPERTY LOCATION: �0 �s 14
�h SUBDIVISION LOT #`ice
Facility Type: '3V (3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�J,(No Basement Fixt s? ElYes '5kNo
Type of Wastewater System** 25`�e O V C. t d N Sys<6r4N (Initial) Wastewater Flow: y1 Q GPD
(See note below, if applicable ❑)
aS0la Q-60 • Syy (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size li- O od gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: tcls'"30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TUN vs. GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover. C — )R inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / uaderrtaod the system type specified /s different from the type seedbed on the application. / accept the rpecifc2tionr of this permit.
Date:
This Construction Authorization is su6jvoce d dell
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 to cam w e isions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Age QGr�S Date:
ec:�A-64) y%y� 2 e t struction Authorization Expiration Date:
El
HTE# 15- 5-3'77'aQ Permit # alW6 9
Harnett County Department of Public Health
Site Sketch
ISSUED TO: H
Authorized State Agent:
Z.L)s
PROPERTY LOCATON: Lots \YID
SUBDIVISION C)P , ra O NN LOT #
`o L1-4(-rL x9095 Date:
(-611 NT(Llj., I`Jc- Ott J>
1'-�-7 /