IPACHTE# S Harnett County Department of Public Health
Improvement Permit 2 6 5 9 6
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N 0QZuL~'1
ISSUED TO: CP~IIN es-5 )i- ~ C SUBDIVISION Emnr.TC LOT #
NEW REPAIR ❑ ENSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 V0 ~
Proposed Wastewater System Ty e: c~S°lo OUG-C v~r1 `~y~~-~£M
Projected Daily Flow: 3~0 GPD
Number of bedrooms: 3 Number of Occupants: (c^ max
Basement ❑Yes No
Pump Required: ❑Yes o ❑ May be required based on final location and elevatons of facilities
Type of Water Supply: ❑ Community Public El Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: °71'71 1 \ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is atKg of other permits. The permit holder is responsible 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 Impro Went 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 construction 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: C eN)'NE-~S PROPERTY LOCATION: N 025 FS2, 9'0
SUBDIVISION 9,-6~0r~ LOT #
Facility Type: ~O New ❑ Expansion ❑ Repair
Basement? ❑ Yes -'2~ No Basement Fixtures? ❑ Yes No
Type of Wastewater System** 2.~°Ia R -P~C.~~ora y5'>G-s~ (Initial) Wastewater Flow: 3 C.G GPD
(See note below, if applicable
`'ro REDVC-\~si-N S--57L- 0 (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size 1 obi gallons Exact length of each trench LA ® feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 1"$--aL) inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacin : Feet on Center
Soil Cover: s_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: finches above pipe
Conditions: PEA11A117 $A~ n ~tZppo`SQ,L ~vge~>>~K~ ~+>>N inches total
Q~PQZ'+ G5~ l0 rJ
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.
**If applicable: /understand the system type specifed is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal ative Signature: Date:
This Construction Authorization is suble evocation if the site Ian, 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 sine k to compliance ' he ions he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: t Date: 7 7
ns ction Authorization Expiration Date: 7
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