IPAC RHTE# &` = 3 ar ,,-. at,,ct County Department of Public .�ealth 27720
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: �. %63
ISSUED TO 2i�" t. SUBDIVISION LOT #
NEW PAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 f►'S^ -f-t
Proposed Wastewater System Type: V`s Z� i2 N- A, ;tom- cis.._._
Projected Daily Flow: CkP GPD
Number of bedrooms: —- Number of Occupants: tom' max
Basement ❑Yes 210
Pump Required: ❑Yes ❑ No R MMee required based on final location and elevations of facilities
Type of Water Supply: El Community LI Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
Z Five years
❑ No expiration
Authorized State Age d° , r ..� Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by t¢e th Department in no way guarantees the issuance of other permits. The permit holder is responsible ing with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if { e 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: 1. . PROPERTY LOCATION: —W 111 Ji1 --, t%�c� r2
SUBDIVISION LOT #
Facility Type: a",� 2 New' El . Expansion ❑ Repair
Basement? ❑ Yes 1* rNo Basement Fixtures? ❑ Yes Q No
Type of Wastewater System ** 2`/'r. (Initial) Wastewater Flow: '360 GPD
(See note below, if applicable ❑)
2 -%z i Z� C-4-14"n-4 (Re air)
Installation Requirements /Conditions Number of tren es -F
Septic Tank Size / 6o Q gallons Exact length of each trench' Z feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z (i ") % %! 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 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
1 inches total
* *If applicable: /understand the system type specired is different from the type speci(ed 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 ownershin of the cite Thin
t.onstrucnon 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 nt: Date:
Construction Authorization Expiration Date: A` f'
HTE# —5-- 2� G LiL Permit # L -7. -7 Z
Harnett County Department of Ilublic Health
Site Sketch