IPACHTE#_02-:-Z295"q Harnett County Department of Public Health 24441
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:Le/y~ /tJ~I~~•SS /Ld
ISSUED T0: S R7V Z ~~y_ L„ qL_ SUBDIVISION /k4 M~ f$z~ LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF/--->
Proposed Wastewater System Type: 2FZ4606;
Projected Daily flow: .3(027 GPD
Number of bedrooms: Number of Occupants: -4--max
Basement ❑Yes Pump Required: ❑Yes ❑ No Id Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community C Public ❑ Well Distance from well feet Permit valid for. -we years
Permit conditions: ❑ No expiration
Authorized State AgtA ' ` Date: SEE ATTACHED SITE SKETCH
The issuance of this perm the 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building PermiQ
The construction and installation requirements of Rules .1950, AM, .1954, .1955, .1956, .1951, .1956. and .1959 are incorporated by references into this permit and shall be met. Systems shall be
installed in xcordance with the attached system layout.
ISSUED TO: Sfi+W-Zl ~s eKS PROPERTY LOCATION: ~/~1f/j~~s!r.,J5 /C/_N
SUBDIVISION LOT #
Facility Type: New Expansion ❑ Repair
Basement? ❑ Yes [Z "No Basement Fixtures? ❑ Yes G o
Type of Wastewater System** _259'a 1 (Initial) Wastewater Flow: a+!a y GPD
(See note below, if applicable
(Repair)
InsWb ioe Requit~tnettts/Ctntditions
Septic Tank Size gallons Exact length of each tren h r / Z D feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of ZG -71 e inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: feet on Center
Soil (over: _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
'Z inches above pipe
~2 inches total
**If applicable: / uadeatand the ryrtem type specified Is dfferent from the type specified on the app/ication. / 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 taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE 91ETCH
Authorized State A Date: Z-5- a
Construction Authorization Expiration Z-Z~ =t 3
HTE# 67.5 - Aff Permit # 2G/yy /
Harnett County I)ehartment of hiblic Health
Site Sketch
PROPERTY LOCATON :,-"~-Z/YV,9
ISSUED TO: S TRH Z'.L~ f~UL/ S 7;~G SUBDIVISION c ea~o LOT # _
Authorized State Agen Date: 2` 25 --0
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