IPAC RHTE #-I H - 5- Harnett Harnett County Department of Public Health 28212
Improvement Permit
Authorized State Agent_ ° t h Date: /- /-3 -Is SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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 T0: �,�ti� /per /,� �'yC PROPERTY LOCATION:,!:�rsyZV-77i3a/Cifrr.��?�
12/
SUBDIVISION �0,s7� /`�i LOT # - Z —
Facility Type: S !� 12 New ��Expansion 171Repair
Basement? El Yes No Basement Fixtures? 1:1 Yes 51 No
Type of Wastewater System** Z's%r�F_ �JyC�tt3�-i ei". (Initial) Wastewater Flow: 3 te-o GPD
(See note below, if applicable ❑)
2� 176mt%) S i- 'f-&-- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1000 gallons Exact length of each trench v D feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Zq 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:_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING 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: /understand the system type specifled is different from the type specified oli 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 chance in ownershia 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 nt: / Date: / - f 3 - `5
Construction Authorization Expiration Date: c — 1-3 — L
A building permit cannot be issued with only an Improvement Permit
/
Zj�f
PROPERTY LOCATION:6 J Y37
ISSUED T0:
1
u,
1/�1¢ .Tt1G SUBDIVISION ✓�jQ�e�,c . 27— LOT #
NEW
REPAIR
EXPANSION ❑ Site Improvements required prior to Construction Authorization
Issuance:
Type of Structure:
S
F=
Proposed Wastewater System Type: ZS
'ig 2f' p�fz
Projected Daily Flow:
3(a-0
GPD
Number of bedrooms:
3
Number of Occupants:
Basement []Yes
C"No
_max
Pump Required: ❑Yes
❑ No
Z"Mavoe required based on final location and elevations of facilities
of Water Supply:
El Community
Z Public E] Well Distance from well feet Permit valid for:
1' Five years
Five
Permit conditions:
❑ No expiration
Authorized State Agent_ ° t h Date: /- /-3 -Is SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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 T0: �,�ti� /per /,� �'yC PROPERTY LOCATION:,!:�rsyZV-77i3a/Cifrr.��?�
12/
SUBDIVISION �0,s7� /`�i LOT # - Z —
Facility Type: S !� 12 New ��Expansion 171Repair
Basement? El Yes No Basement Fixtures? 1:1 Yes 51 No
Type of Wastewater System** Z's%r�F_ �JyC�tt3�-i ei". (Initial) Wastewater Flow: 3 te-o GPD
(See note below, if applicable ❑)
2� 176mt%) S i- 'f-&-- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 1000 gallons Exact length of each trench v D feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Zq 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:_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING 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: /understand the system type specifled is different from the type specified oli 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 chance in ownershia 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 nt: / Date: / - f 3 - `5
Construction Authorization Expiration Date: c — 1-3 — L
HTE# N _S —3�t7 832
Permit # Z 82- i 2 -
Department of PablicHealth
Site Sketch
PROPERTY LOCATON:c*�-H3-%
ISSUED T0:c�l�,� d— -SNC., SUBDIVISION /rte -;Di LOT #
Authorized State Ag �(f �.,a,�. Date: � `" � 3 ' � 5r'
V 0 Ko)) VA --F I