IPACHTE# t' - m � � Harnett County Department of Public Health 27867
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
'��� 2 G 1 l) !' /t
ISSUED T0: rL i SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: :2x
Proposed Wastewater System Ty e: Zg C..Y-L S
Projected Daily Flow: )L GPD
Number of bedrooms: L Number of Occupants: _� max
Basement ❑Yes 4 o ��
Pump Required: ❑Yes ❑ No �Ma be required based on final location and elevations of facilities ��!
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for 2 Five years
Permit conditions: ❑ No expiration
Authorized State Ag :: to Date: 5- --7-11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Ith 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 rte 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: �� s ou `Za/t PROPERTY LOCATION: 62—Jb-tiZ eq r
SU ISION 2r° LOT # A, E
Facility Type: � v ° ❑ New � � Expansion ❑ Repaf
Basement? ❑ Yes No Basement Fixtures? ❑ Yes, 0 o
Type of Wastewater System" ZS% 3'�'—bQ 0 (Initial) Wastewater Flow: V26 GPD
(See note below, if applicable ❑)
60% (Repair)
Installation Requirements /Conditions Number of trenches _I
Septic Tank Size % 0(1L% s Exact length of each trench L feet Trench Spacing: � Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: inches
Maximum Trench Depth of: 2 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
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
4 inches below pipe
2— inches above pipe
2— inches total
* *If applicable: 1 understand the system type specified is different from the type specified on the application. / accept the specifications o/ this e r i
t.
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
a.
Authorized State nt: Date: —'1 --( J
Construction Authorization Expiration Date: ~a" ° '1 ~' 1 i
HTE # a q - �°_ 334 8 � Permit # 2j 9 6 7
Harnett County Department of "ablic Health
Site Sketch
PROPERTY LOCATON: m'L t iZ 01 D i3v 5 C eces
ISSUED T0: e�c' r4 Ale SUBDIVISION LOT # 1�
Authorized State Agent.- -- ,®-- Date:
1
i
N (4"vZ