IPAC RNTE# b 6 " 278 l� Harnett County Department of Public Health
Improvement Permit 27222
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION• Z
ISSUED T0/ SUBDIVISION LOT # /
NEW li REPAIR lb EXPANSION ❑ Site Improveme is required prior to Construction Authorization Issuance:
Type of Structure: p
Proposed Wastewater System Type:
Projected Daily Flow:` GPD
Number of bedrooms: Number of Occupants: _max
Basement []Yes No ���,r�''�
Pump Required: ❑Yes ❑ No Cs�' Ma ee required based on final location and elevations of facilities ,/
Type of Water Supply: ❑ Community LY1 Public ❑ Well Distance from well feet Permit valid for. 911"ive Y ears
Permit conditions: ❑ No expiration
Authorized State A :: Date: 1I- %— 12.- SEE ATTACHED SITE SKETCH
The issuance of this permit b the Ith Department in no way guara tees 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 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: V1- _ PROPERTY LOCATION: .�
2/ New LOT #
Facility Type: �% Lf New ❑ /Expansion ❑ Repai
Basement? El Yes R No Basement Fixtures? El Yes C� 0
Type of Wastewater System ** ?_� a Z� (Initial) Wastewater Flow: %0 GPD
(See note below, if applicable 1771)
e'
Installation Requirements /Conditions Number of trenches
Septic Tank Size ' gallons Exact length of each trench Z e es 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. Z 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 A7 inches below pipe
Aggregate Depth: 7— inches above pipe
Conditions: 6n--� ame i'° Sze d' f`' inches total
I,
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 specified is different from the type specified on the app lication. / accept the specipcations 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. SEE ATTACHED SITE SKETCH
Authorized State Age Date:
Construction Authorization Expiration Date: /J,- z/ - t ?
HTE#/2—r—.2l`977/z Permit # .2 7Z-2>—
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bite 1,- ite shetch
PROPERTY LOCATON:
ISSUED TO: ;;Wv,— SUBDIVISION LOT #
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Authorized State Age gcz--7�,�� Date: Z-
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