IP-OnlyHTE# t o -5-ay~~3 Harnett County Department of Public Health
Improvement Permit 2 6 2 0 6
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: F1 -,r4 w --I
ISSUED TO: N r4 C-0 rv 5-1 Q k) C-K 0 rJ SUBDIVISION N G E o rtT LOT # tQ9
NEWV REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5Ffl Co t~^x S O~ H f~ty9 C O~z A• ~t -i a Pvy EP, p„ I r~dsc Q,T~
Proposed Wastewater System Type: Pv InQ 1o aS°lo e.Eou,>K\ e,
Projected Daily Flow: 3 w0 GPD Q) *4 9Q090bP-L ~E 4 e,L 07f )a P,vN 'j:, Elp
Number of bedrooms: Number of Occupants: 6 max _
Basement ❑Yes No FrtoK, ~5\ LI \ rz,P.IF~e-
Pump Required:s ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community
Public El Well Distance from well feet Permit valid for. Five years
Permit conditions: No expiration
Authorized State Agent:: 6 Date_ 1} 1 YC) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the t e of other permits. The permit WA, is res om ble 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 Improv tent 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 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:
Facility Type:
Basement? ❑ Yes ❑ No
Type of Wastewater System"
(See note below, if applicable
(Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size gallons
Exact length of each trench
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of:
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
feet Trench Spacing: Feet on Center
Soil Cover inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
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.
**If applicable: /understand the syrtem type specified /s different from the type ,rpeciled on the app/ration. / accept the spec112ationt 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 chance 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 nermit SFF ATTA[NFn UTF UFTCN
Authorized State Agent: Date:
Construction Authorization Expiration Date:
❑ New
Basement Fixtures? ❑ Yes
PROPERTY LOCATION:
SUBDIVISION
❑ Expansion ❑
❑ No
Repair
LOT #
(Initial) Wastewater Flow: GPD