IPACHTE# jig N i-- Z& /z4z5--A arnett County Department of Public Health
Improvement Permit 27026
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: SLs~ . ~.'l
ISSUED TO: t, - tee SUBDIVISION 0-r7`, LOT # .
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ?-S°r'.i& r7~ ?fly ,4r-~
Projected Daily Flow: V?o GPD
Number of bedrooms: Number of Occupants: ( max
Basement ❑Yes Z No
Pump Required: ❑Yes ❑ No Z -M' "K required based on final location and elevations of facilities
Type of Water Supply: ❑ Community I~ Public ❑ Well Distance from well feet Permit valid for: & five'
ive years
Permit conditions: ❑ No expiration
Authorized State Age e ,r~ Date: 19 / `l F ? SEE ATTACHED SITE SKETCH
The issuance of this permit by Health 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 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 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 be installed in accordance
with the attached system layout.
ISSUED TO: L G PROPERTY LOCATION:
SUBDIVISION K f A-1 LOT #
Facility Type: `J EZ*New EI-Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Y No
Type of Wastewater System** Z`~. dU t Zt'~ Vii,1P,~ (Initial) Wastewater Flow: f GPD
(See note below, if applicable
*pair)
Installation Requirements/Conditions Num er of trenches 2
Septic Tank Size 16 d Q gallons Exact length of each trench / t% feet Trench Spacing: z9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: i~ inches
Maximum Trench Depth of. Z11inches (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
Conditions:
at
5
inches below pipe
Aggregate Depth: Z inches above pipe
►zfh1 - inches total
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 speciled is different from the type speciled 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, 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 compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Itt AI IALM 1I111: M ILH
Authorized State Aggfif Date: -JJ - P I-
61 Authorization Expiration Date:' _ t ?
H T E # /Z- _5 a 5"5-27 2CIZ 5fi), Permit # 27 0 2
Harnett County Department of iblic Health
Site Sketch
PROPERTY LO(ATON:_ 53Z c csa: /U►
ISSUED TO: SUBDIVISION 1 :3--j0q LOT # _
z
Authorized State Ate{ ea-,rte s Date: ° l
4
V~