IPAC RRRHTE# 11— ZI / 3q/ze/2 Harnett County Department of Public Health 28695
ImDrovement Permit
Authorized State A t" � Date: Z - Z y /4 SEE ATTACHED SITE SKETCH
The issuance of this permit b er lealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoation i Ae 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 h 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, .1956, .1957, .1958, and .1959 are incorporated by references into this permit and shall be met Systems shall he installed in accordance
with the attached systemlayout
�/
ISSUED TO: /�/f ✓r PPsct, Tie' PROPERTY LOCATION: SR I S S df ✓aAlnl�a N c�
J SUBDIVISION S' w zN vc'SFr�T'S LOT #
Facility Type: )%W n l µ IJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2 No Basement Fixtures? ❑ Yes E3" No
Type of Wastewater System" 25% fZFc�ULiLtr)� Ar shc' (Initial) Wastewater Flow: 3(0LO GPD
(See note below, if applicable EI) ?
o 4D (Repair)
Installation Requirements/Conditions 1 Number of trenche 3
Septic Tank Size /DUD gallons Exact length of each trench /00 feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover._ inches
Maximum Trench Depth of 27 -710 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: 2 inches above pipe
Conditions: ) 2 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: / understand the ryrtem type ;pec/led it different from the type specified on the app/irrpon. / accept the rroedlemions of this permit.
Owner/Legal Representative Signature: Date:
This construction Authodaatmn is subject to revocation if the site 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
lonstmcnon Authismanon is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit )tt AI IALMtU Nit 591:10
Authorized State �gerfi S C" /y��rv/ Cil — Date: Z —2 '2-
Construction
2Construction Authorization Expiration Date: z - 7,
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:S"sg' ctf�>
ISSUED TO� 4A-VLr
/� P
(t -:r 4 !Z;j: SUBDIVISION STk) yM/C37k 7JT-5
LOT #
NEW CK
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
A W
M,4 3 2 X; % lf`
Proposed Wastewater
System Type: Z -z" OK r26Li ue-' >
Projected Daily Flow:
3(i O
GPD
Number of bedrooms:
Number of Occupants: lmax
Basement []Yes
❑ No
�
Pump Required: ❑Yes ❑ No
f3"Ma a required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
f Public ❑ Well Distance from well feet Permit valid far.
2 Five years
Permit conditions:
❑ No expiration
Authorized State A t" � Date: Z - Z y /4 SEE ATTACHED SITE SKETCH
The issuance of this permit b er lealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoation i Ae 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 h 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, .1956, .1957, .1958, and .1959 are incorporated by references into this permit and shall be met Systems shall he installed in accordance
with the attached systemlayout
�/
ISSUED TO: /�/f ✓r PPsct, Tie' PROPERTY LOCATION: SR I S S df ✓aAlnl�a N c�
J SUBDIVISION S' w zN vc'SFr�T'S LOT #
Facility Type: )%W n l µ IJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes 2 No Basement Fixtures? ❑ Yes E3" No
Type of Wastewater System" 25% fZFc�ULiLtr)� Ar shc' (Initial) Wastewater Flow: 3(0LO GPD
(See note below, if applicable EI) ?
o 4D (Repair)
Installation Requirements/Conditions 1 Number of trenche 3
Septic Tank Size /DUD gallons Exact length of each trench /00 feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover._ inches
Maximum Trench Depth of 27 -710 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: 2 inches above pipe
Conditions: ) 2 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: / understand the ryrtem type ;pec/led it different from the type specified on the app/irrpon. / accept the rroedlemions of this permit.
Owner/Legal Representative Signature: Date:
This construction Authodaatmn is subject to revocation if the site 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
lonstmcnon Authismanon is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit )tt AI IALMtU Nit 591:10
Authorized State �gerfi S C" /y��rv/ Cil — Date: Z —2 '2-
Construction
2Construction Authorization Expiration Date: z - 7,
HTE# //— 5-- 2-713y RR Permit # Z Oak �-fS7—
Harnett County Department of Public Health
Site Sketch
))ALrr 6 (DFES,C— —1 Z PROPERTY LOCATON::*2t/S5"N ✓d4,. 5^J A3
ISSUED TO: SUBDIVISION t/c.s 7-,-1 e --)7s LOT #
Authorized State A t /! Date: