IPACHTE# i N -S -3 42 79 Harnett County Department of Public Health 27988
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1 PROPERTY LOCATION: /,2 8 9 �o. ✓Q ��c �ot,
ISSUED TO: Se. SUBDIVISION LOT #
NEW ❑
REPAIR ❑ EXPANSION 2'
Type of Structure:
J—FD
Proposed Wastewater System Type:,, r-
Projected Daily Flow:
3 ° GPD
Number of bedrooms:
3 Number of Occupants: 6 max
Site Improvements required prior to Construction Authorization Issuance:
Basement ❑Yes 0110
Pump Required: []Yes 2iNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public 2"*Well Distance from well S6 feet
Permit conditions:
Permit valid for:
l-Five years
❑ No expiration
Authorized State Agent:: 'Department �� ..., /cr ff/ Date: f / /a1 as /V SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health 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 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: J-, IT ACC , -tk PROPERTY LOCATION: %2 63 le&, -, )Q. ,k led
SUBDIVISION LOT #
Facility Type: 5-ri) ❑ New [Expansion ❑ Repair
Basement? ❑ Yes C" No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** a57. (Initial) Wastewater Flow: -3160 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of trenches j
Septic Tank Size 15 gallons Exact length of each trench 15-0
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 36
(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. d inches
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: J understand the rystem type specified is different from the type specified on the app /ication. /accept the soeci6cationr of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it 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 Agent•. 7/��2�� /.YS,:...2�/�I� Date: /1J .2
Construction Authorization Expiration Date: J% /,F z at y
HTE #,S' �y.377
Harnett County
Permit # 02-79 88
lepartment of •
Site Sketch
�,� PROPERTY LOCATON: /Z85
ISSUED TO: e �� 114 trr� �, SUBDIVISION LOT #
Authorized State Agent: cff Date:
� S'v
f—a✓cu 4.,k ,U-