IPAC RRHTE# tis -5=5-77 ji Eta ,a Harnett County Department of Public Health 28757
Improvement Permit
A building permit cannot be issued with only anrovement 4rmit
A..�oa� V�
ISSUED TO: �sySSCLyCi025 SUBDIVISION C�PY 0N\ LOT#
NEW;wREPAIR4 E7 fSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: g�9 \SOS
Proposed Wastewater System Type: ;�S /> QEou�s ON Sys �r
Projected Daily flow: 3 6 O GPD
Number of bedrooms: --
of Occupants: max
Basement ❑Yes �No
Pump Required: []Yes�#o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1 O d het Permit valid for. _I Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: � Date: Z S G SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees — of other permits. The permit holds are onsible 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 commuction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: H '' N OQS
Facility Type: 5'�'5) (50 "3�A� 'X New
Basement? ❑ Yes `Eg, No Basement Fix es? ❑ Yes
Type of Wastewater System**
(See note below if applicable ❑)
PROPERTY LOCATION: d c5
SUBDIVISION � ��r\oN— LOT # `i -k
El Expansion El Repair
(Initial) Wastewater Flow: 30Z% GPD
P 9-S °1
R-s"O, Sys (Renairl
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I ntD O gallons Exact length of each trench -7 O
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of T�0-36
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
feet Trench Spacing: Feet on Center
Soil Cover: l inches
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: l undecriand the .)item type specified is different from the type scledfed on the applicatiovz l accept the specifications of this permit.
Owner/Legal Representative Slg Date:
This Commission Authorization is subject to rev con dan, 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 Aulhorization i,,-- ompliance wit provisiom laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constru 'on Authorization Expiration Date:'13 lL I a
HTE# IS -s' 3� 7 ��� Permit # a'O C-2
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: flocs
ISSUED TO: �� ' » �� a v d SUBDIVISION�> c mo r l LOT #
Authorized State Agent`ToILiS Date: 3 a 6
ais
r— Do at of,
c
14-7