IPACHTE #Z- 2'-`i :3" 7 Harnett County Department of Public Health
Improvement Permit 27206
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATlOk- ,5—/3 Ae/Sd l Rb
ISSUED TO: SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION
Type of Structure: &.4 ;-i -
Proposed Wastewater System Type: CW 0 �,
Projected Daily Flow: 3 t�6 GPD
Number of bedrooms: Number of Occupants: (O max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes 2 No ❑ May be required bb d on final location and elevations of facilities
Type of Water Supply: El Community El Public Zell Distance from well feet
Permit conditions:
Permit valid for:
L( Five years
❑ No expiration
Authorized State Agen leeai,%i•.� %�' Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by th6dith 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, .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:
PROPERTY LOCATION v�
Facility Type: c-
SUDIVISION
E] New Expansion El Repair
LOT #
Basement? El Yes No
�E
Basement Fixtures? El E Yes No
Type of Wastewater System **
(Initial) Wastewater Flow: 3�e GPD
(See note below, if applicable ❑)
/2/>"Z X (Repair)
Installation Requirements /Conditions
Number of trenches Zo
Septic Tank Size /L cad gallons
Exact length of each trench 5 feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: — inches
Maximum Trench Depth of: Zq 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. TDH vs.
GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions:
G70 IN D . 'e :
inches total
WATER LINES (IN(LUDING 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: !understand the system type speciTed is different from the type specired on the app /icatiom / 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 chance in ownershin of the site Thic
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 SEE ATTACHED SITE SKETCH
Authorized State A Date: 101 -2 -°7 2.
Construction Authorization Expiration Date: d c° 2- 1 `7
HTE# /Z-5 - Z-573-7 Permit # x-720 6
Harnett County Department of -Public Heailth
Site sketch
PROPERTY LOCATON: e- 44, �- !-I)
ISSUED TO: �7-4 5 dl—1 SUBDIVISION LOT #
Authorized State Agent. Date: C.- 2 — jZ,
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