IPAC RHTE# Harnett County Department of Public Health 28795
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
p PROPERTY LOCATION: �V v O 6
ISSUED TO: GDC
5 5 Dy %"N o C � ry C. SUBDIVISION rT LOT #t 5
NEWW)< REPAIR ❑ EXPANM ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: $4Z 0 (LA) " L'
Proposed Wastewater System Type: ^ e O a o iZr—V 1JC-c 10 cel
Projected Daily Flow: - b0 GPD
Number of bedrooms: Number of Occupants: b max
Basement []Yes X'No
Pump Required -.,Ms ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ';K Public ❑ Well Distance from well Ldd feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: Date: 'N acts l % SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu er permits The permit holder olrespeonsille 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 abetted by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws and Rules for Sewage Treatment and Dispmal and on conditions of this permit.
Construction Authorization
(Required for Building Perm
The comnmction and installation requirements of Rules .1950, .1951, AM, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall he installed in accordance
with the attached system layout \
ISSUED TO: GN> G s v S LO v t; l ry r_ PROPERTY LOCATION: J V r -s o Og w G
SUBDIVISION N 1 s c &tw P o v s L LOT # «k
Facility Type: SFO �C+ (T�� L`� New ❑ Expansion ❑ Repair
Basement? ❑ Yes �K No Basemet�Fixtures? ❑ Yes N f
Type of Wastewater System** PV mP \ o a °fid LOOcr: I Q rr5 /s ern (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
P V m P iu t�"/o e'c'-p . (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size 1 O (�s o gallons Exact length of each trench I'ci'b feet Trench Spacing Feet on Center
Pump Tank Size o oy gallons Trenches shall be installed on contour at a Soil (over i inches
Maximum Trench Depth of-. S1 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. TUN vs. GPM inches below pipe
n Aggregate Depth: inches above pipe
Conditions: PF T e^ �R*z Q.J 6 ^vPa�Q� `F�3-esM �Q4�� t3 ISS inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undeahnd the system type speafied is different from the type specified on the app/iradon. / ac t th rpeahin i a s o/this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization 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
Construction Authorization is subject to comp ian " theputyisions of the laws and Rules for Sewage Treatment and Disposal and on the conditions of this permit SEE ATTACHED SITE SKETCH
[Authorized State Agent: —1 i5 Date: 9) — ' 16
auction Authorization Expiration Date:
HTE# 5-5-36630
ISSUED TO:
Authorized State Agent:
Permit # 9 5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: V N rj Qq -`4 e—
N N GSUBDIVISION 6E Po ) —,F_ LOT
L" ��1O1avGy l OvX5bc-f& Date: 'A
'UNO Ofz.,\16
'r4J
M
s 01}
SOUTHEASTERN SOIL & ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION: "7r✓K-&f P- r r LOT /ft
INITIAL SYSTEM: APPROVED 25% RECUCTION
DISTRIBUTION: 0-g oX
BENCHMARK: 100.0
NO. BEDROOMS: . /
LINE FLAG COLOR ELEVATION
REPAIR R//fa✓6' zJ /. RE�µ�•�,r
DISTRIBUTION a-Jq•x
LOCATION P -c Js 1,
LTAR C. J*6- IPr
LENGTH
BY t#� L` me—1 -
TYPICAL PROFILE (M -J✓ 61..,
o-rece6✓n't-.Y,1/
a.
�----
/— (r.K- AT i I "
DATE
THERE SHALL BE NO GRADING,
CUTTING, LOGGING OR OTHER SOIL
DISTURBANCE IN SEPTIC AREA