IPAC RHTE #14°5= Z`3�P`7 Harnett County Department of Public Health
ImDrovement Permit 27224
A building permit cannot be issued with only an Improvement Permit
-�^ PROPERTY LOCATION:
ISSUED T0: -�/ SUBDIVISION °- LOT # --
NEW [ REPAIR ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1V1z�,V -.4-ru
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: �� Number of Occupants: max
Basement []Yes LJ' No
Pump Required: ❑Yes ❑ No C7�2 be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L� Public ❑ Well Distance from well feet Permit valid for: C7 Hive years
Permit conditions: ❑ No expiration
Authorized State Agent /t- Date: — 7 % 7, SEE ATTACHED SITE SKETCH
The issuance of this permit by If th 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 t . 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: — °Jfirlk.r,,&— � PROPERTY LOCATION: (J
SUBDIVISION LOT # I_
Facility Type: 2" New �❑ xpansion El Repair
Basement? El Yes No Basement Fixtures? El Yes Ek o
Type of Wastewater System **
(See note below, if applicable ❑)
(Repair)
Installation Requirements /(onditions Number of trenches 3
Septic Tank Size gallons Exact length of each trench zoo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z )fig,, inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: 3&Q GPD
Trench Spacing: _ Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
* *If applicable: / understand the system type rpeciTed is different from the type speciTed on the app lication. /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. Jtt AIIALM Mit MIIH
Authorized State Age q. _ Date: I'' 7'-7 > �-
Construction Authorization Expiration Date: f! - X-7
HTE# / ;,-3 = 756W 2
Permit # Z-1 2-1
(axnett Colulty Department of Public Health
Site sketcll
PROPERTY LOCATON: z}Z A+rt..
ISSUED TO: w570 -4 SUBDIVISION LOT # i
Authorized State Agen : Z Date: /I- Z7 — r Z.