IPACHTE# 'Z- - .? ,>i®8 Harnett County Department of Public Health
Improvement Permit 27223
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 4- 7L.Zi!l0(e- (24
ISSUED T0: SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: --,c 5f-6
Proposed Wastewater System Type: {z
Projected Daily Flow: 3tta0 GPD
Number of bedrooms: J Number of Occupants: max
Basement ❑Yes 2" No /
Pump Required: ❑Yes ❑ No L? May be required b ed on final location and elevations of facilities
Type of Water Supply: El Community I-] Public Well Distance from well 561 't' feet
Permit conditions:
Permit valid for:
�jve years
❑ No expiration
Authorized State Age q.. e-7 4 Date: h — Z-'7 " t -L- SEE ATTACHED SITE SKETCH
The issuance of this permit by th ealth Department in no way guarantees the issuance of other per The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if ti 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: 15 r A- ! PROPERTY LOCATION: t;7 -Zp(e C iZ1�
S LOT #
Facility Type: u k [er New Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? El Yes No
Type of Wastewater System" 60✓t1ei-�c,4 (Initial) Wastewater Flow: 3 00 GPD
(See note below, if applicable ❑)
2501, i Y13 (Repair)
Installation Requirements /Conditions Number o trenches 21
Septic Tank Size _ allons Exact length of each trench / &d feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: 2J inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
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
f Z. inches total
* *If applicable: /understand the system type specified is different from the type specified 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 chanoe in ownershin of the cite 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: 2.-7 —/ 7—
Construction Authorization Expiration Date: I t -- 21 d
HTE# jZ'5- 367ag Permit # 7 '7Zz,,,T
Harnett Comity Department of Public Health
Site Sketch
PROPERTY LOCATONcA.- _ �.
ISSUED TO: l5—,Z-v6,j ,A -%� SUBDIVISION LOT #
Authorized State Agen . r a- Date: %t'' 7'7-- a z,
A