IPACHTE# /q- Harnett County Department of Public Health 28067
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�t PROPERTY LOCATION:
ISSUED T0: !7 SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ^ —�r—D
Proposed Wastewater System T pe: 5a
Projected Daily Flow: ® GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes
Pump Required: ❑Yes ❑ No �aa e required based on final location and elevations of facilities live of Water Supply: El Community I� Public El Well Distance from well feet Permit valid for: 2 ive years
Permit conditions: ❑ No expiration
Authorized State Age • G Date: 7-7 -/'y SEE ATTACHED SITE SKETCH
The issuance of this permit 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 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: Ufa i/....1) 11-fAdr.,J PROPERTY LOCATION:
_ SISION LOT # Z
Facility Type: ti` c _ El New expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L, No
Type of Wastewater System ** Z�M / mf r.-i_ — (Initial) Wastewater Flow: '/& GPD
(See note below, if applicable ❑)
—�--." r" (Re air)
Installation Requirements /Conditions Number Arenches
Septic Tank Size 6&95h gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: LZ inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: ! Feet on Center
Soil Cover: riches
(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.
h inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type speciled is different from the type specified on the application. / accept the specilcations 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 Silt SKETCH
Authorized State Ag
Construction Authorization Expiration Date: g -' Z --- � �
HTE# H
Permit # 2,964 7
County Harnett •!a il'• of i Health
Site Sketch
I.
C}
a
4
r ;
x I m
r
o � \ae tG1
a *7zz
O ° s Y
a
raZ
K [j
3 �
A Uy
C
s
a
�• ,3�
0
0 4p 7C" tl3
40
a
Ln
.r
7C a C
�w
�1+
ey �.
. C, s
� f 1
• C40tl�N Cw.•,•
p antra t(S- A CO
�eI `�
Oo ct
5.0 {�
w
..a
QQ
sera °JOAN riI 4. . ..� 00
T� IVr _
rr
rril
• ,.. ,.,a � ., _ too ... —e ... ,,,
1
tq
r, p
3a
n°%q«°��'
Magnetic Nodh
P.C. F, Slide 528 —A
I �
.9
44
"' Z
c
i
00 C
.
0 t!1 -w
+� 7 D. w O
Magnetic Nodh
P.C. F, Slide 528 —A
I �
.9