REPAIR IPACHTE# Harnett County Department of Public Health 28061
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:,-Y—Z-zr 5" A .rAz
ISSUED TO: L✓ /��lsd-� i 1—k5 /:7,-j SUBDIVISION LOT #
NEW ❑ REPAIR 12f EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F- Y, SFJ
Proposed Wastewater System Type: 25 %
Projected Daily Flow: 3 C9 C� GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes Z No �
Pump Required: ❑Yes ❑ No DM ae required b ed on final location and elevations of facilities
Type of Water Supply: ❑ Community Lit Public Well Distance from well /QO feet Permit valid for: 0 Five years
Permit conditions: ❑ No expiration
Authorized State Agent: d 1 Date: g /c/—/ SEE ATTACHED SITE SKETCH
The issuance of this permit by th alth 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 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: % � ��s 6 � J Zk5 PROPERTY LOCATION: W Z -213 —
SUBDIVISION LOT #
Facility Type: rte` S�� ❑ New ❑ Expansion Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 21'-No
Type of Wastewater System **
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of treiniches 2
Septic Tank Size �-- *c.r--r�gallons
Pump Tank Siz�/ Gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 1- 1� feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 29—)[% inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
(Initial) Wastewater Flow: 3 6 � GPD
Trench Spacing: �I 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
Z inches above pipe
L. inches total
* *If applicable: /understand the system type speciped is different from the type speciped on the app /ication. /accept the specifications 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 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 Age Date: f,
JConstruction Authorization Expiration Date:
HTE#
Permit # Z so (o-1
Harnett County Department of Public Healtb
Site Sketch
PROPERTY LOCATON: M ZZl�"f i�✓c /�CeAl2i�/ . \
ISSUED TO: /del sm3 A% SUBDIVISION LOT, #
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Authorized State Agent Date:
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