IPACHTE# 1� _ Harnett County Department of Public Health 28060
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -5/Z /"III 134J J )Cfer _ 2,t>
ISSUED TO: -L)e� SUBDIVISION if LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: j)LJrK-4
Proposed Wastewater System Type: Z5% r
Projected Daily Flow: tn.¢7 GPD
Number of bedrooms: �— Number of Occupants: max
Basement ❑Yes ET 'No
Pump Required: ❑Yes ❑ No �a' re uired ba on final location and elevations of facilities ��
Type of Water Supply: ❑ Community L'I Public q Well Distance from well /01) `l'' feet Permit valid for alive years
Permit conditions: ❑ No expiration
Authorized State Ag :: C /', Date: f� —/ .3 - / Y' SEE ATTACHED SITE SKETCH
The issuance of this permit by a ealth 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 ii ee 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 Permio
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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:e �1/ #,-)4 --"S- - .4-40 JF'.' � PROPERTY LOCATION:--� /,7!l f3 Nf�et ,
SUBDIVISION LOT #
Facility Type: ✓ E2 /"New ❑Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes D No
Type of Wastewater System ** LS„?4�bU c.?r?-r-) -- (Initial) Wastewater Flow: 25 CD GPD
(See note below, if applicable ❑)
4-r6 Cu,.svS w 5` G epair S so,
Installation Requirements /Conditions Number of trent:6es Z
Septic Tank Size - 1600 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 1 2 0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 7 6 � I - f) - inches
(Trench bottoms shall be le el o + / -I '
in all directions) �1�t
GPM
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
,2 inches above pipe
/ Z- inches total
* *If applicable: I understand the system type specifed is different from the type specified on the application. l accept the specilcations of this permit.
Owner /Legal Representative Signature: Date:
This rnnstrurtinn Authnriration is mhiect to revocation if the site elan. plat or the intended use chances. 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
Authorized State Ag , \ '^ �-4 ` Date:
Construction Authorization Expiration Date: L —! —! g'
HTE# S- 3-5Y R:-S-' Permit # 2 0 o & U
Harnett County Department ent of Riblic Health
Site Sketch
LL PROPERTY LOCATON:c5 1IIf 3naaLC(� 12)
ISSUED TO: �f(A,,1ti/,4 —4A1 t Z f IlAj SUBDIVISION LOT #
Authorized State Ag . Date: Y
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