IPAC RATE#—� qtV, Harnett County Department of Public Health 2 7 9 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 'nP A - e--y-
ISSUED TO: �P�:5O.t4 T—�- SUBDIVISION Gtz.e.aK LOT #
NEW REPAIR I—] EX SION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 'F 0 �"�`b
Proposed Wastewater System Type: 9 v — tom; No s�
Projected Daily Flow: 3 G,ea GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes -�K No
Pump Required:T!�s ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: '- '' 1° ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o mits. The permit holder is respd sible 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 Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
nstruction Authorization
Reauired 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 T0: ®A C.,( -- Co PROPERTY LOCATION: �1)
SUBDIVISION LOT #
Facility Type: S�ZiX�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes �'V No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** Pvr<P ' v ;ZiSy.
(See note below, if applicable ❑) _
P ",,P , ' '-"57. - �aF�:� epair)
Installation Requirements /Conditions Number of trenches I
Septic Tank Size ►b(n O gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 0 a. inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
;D
(Initial) Wastewater Flow: '�C 0 GPD
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
� inches total
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.
* *If applicable: / understand the system type specified is different from the type specified on the app lication. / accept the specifIcations of this permit.
Owner /Legal Repre- nature: Date:
This Construction Authorization is subject to r voca the s' n, 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 a compliance the prove Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: C
Construcciri,_Authorization Expiration Date: 6
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SOIITHEASTERN SOIL cs� ENVM0NMI;NTAL ASSOC,, INC,
PROPOSED SUBSURFACE, WASTE, DISPOSAL, SYS'T'EM DETAIL SHEET
SUBDIVISION
INITIAL, SYSTEM 4th -To ll-
DISTRIBUTION 4£14. ' aLcxt—m-Ai
BENCHMARK
NO, BEDROOMS „
LOT
DISTRIBUTION g" .. k(+F--
LOCATIONGa��
art': /�l6tfT
PROPOSED LTAR 4. 21,1" +�t�p1ir
.L� FLAG COLOR ELEVATION LPNGT m
1t b- 41- .!!R. Lf
11 Y dot 14ga
TYPICAL PROFILE
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