IPACHTE# 6-7-5"=3,5365— Harnett County Department of Public Health 28220
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: j�5 S 2 ►4ha i-ma� Ab
ISSUED T0: t1 SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 1— Ste'
Proposed Wastewater System Type: ZSR
Projected Daily Flow: k4 Q>O GPD
Number of bedrooms:
C-(
Basement []Yes
❑' o
Pump Required: ❑Yes
❑ No
Type of Water Supply:
❑ Community
Permit conditions:
Number of Occupants: g max
VMay required based on final location and elevations of facilities
Public ❑ Well Distance from well feet Permit valid for: the years
❑ No expiration
Authorized State Aged— Date: Z " /Z- ' / SEE ATTACHED SITE SKETCH
The issuance of this permit byH th Department in no way guarantees t e 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 i 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: � 5']- s i Agr�� PROPERTY LOCATION: 64JS-S2 6J AA+Ci� KLb
SU IVISION LOT #
Facility Type: G� F-1�New Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2—SZ ftZ4 3Tr— \ (Initial) Wastewater Flow: +E�a GPD
(See note below, if applicable ❑)
�13(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size0DO gallons Exact length of each trench o o feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover:_ inches
Maximum Trench Depth of:/—q—)/2- inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: / anderstand the system type specified is different from the type specified on the application. / accept the specifications ofthispermit.
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 chanee 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 ADate: 7 — /Z / 5�
Construction Authorization Expiration Date: 2 — l Z
HTE# /5� S Y5'2c)c,— Permit # -2e Z2-0
Harnett County Department of Public Health
Site Sketch
r PROPERTY LOCATON:
ISSUED T0: SUBDIVISION LOT #
A eJ
Authorized State
FV4t
Date: —7 —/2 —/S
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VIA Lts
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