IPAC RHTE# 0$-s-I'I 1 9, Harnett County Department of Public Health
Improvement Permit 2 6 3 5 4
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: C, s ~N L PROPERTY LOCATION: N c. 3►O~
SUBDIVISION G ti i E~ Q a .5 LOT # -5
NEW'X REPAIR ❑ E,ANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'SG C~ ~ 3~',-30
Proposed Wastewater System Type: ('u me-To asc/. 9Eoygs%ON
Projected Daily Flow: 11, O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required:'OYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '9, Public ❑ Well Distance from well 101Z) feet
Permit valid for. Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: J~~ Q-x,15 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issua of other permits, The permit holders res nsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation 4 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
The construction and installation requirements of Rules .1950, .1952, .1
with the attached system layout
(Required for Building Permit)
954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
ISSUED TO: Mks 1 N G
PROPERTY LOCATION: 6 S
Facility Type: 5~~3`1
SUBDIVISION Gw6,,~ 0 AV-5 LOT # 5
N
❑
ew
Expansion ❑ Repair
Basement? ❑ Yes ~K No Basement Fixtures? ❑ Yes ' No
Type of Wastewater System** ~ v n9 ' U
~ 5'/0 ~E.o u c.-C~a N S_ ~~rrv
(Initial) Wastewater Flow: 3(zQ GPD
(See note below, if applicable
92 MF70
3570 9,v-Lo1JL<\1J14 (Repair)
Installation Requirements/Conditions
Number of trenches `~L
Septic Tank Size ► (n 0 o gallons
Pump Tank Size ►C)36
ll
Exact length of each trench )i a~ feet Trench Spacing:
Feet on Center
ga
ons
Trenches shall be installed on contour at a Soil Cover: Q-cZ inches
Maximum Trench Depth of- 1'-30 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs.
GPM
inches below pipe
` -4 N P a<) e ose.,~ ~ M Aggregate Depth: inches above pipe
Conditions: -1 >4 Q~~ 0 F C5')
S,> ~ Q0-t-'0q °-Sd lh~~ u._.As `0 N `7 o w;F't S 1r.o~•, off, inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / lrnderfmc/ the system type speciCed /s different from the type specired on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat ar 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 sub to compliance wi the ov' o ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: QGIvls Date: ~ _
Constructio uthorization Expiration Date: 1\ 2 )S`
HTE# C'~ - X60 tZ Permit # '01x03 5l}
Harnett (bounty Depalment of Public Health
Site Sketch
PROPERTY LOCATON: NOS
ISSUED T0: QC'~~. > G SUBDIVISION GwG•.~ DAvis LOT # 5
Authorized State Agent:~5 ~Az-~ +E+z- oLsD Date:
35 a,'
r^
a
)s~ i
ail
1401
106 " / ,2 ~ x"36 r /
E 36'
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