IPAC RRHTE#, 2- 2= W z Harnett County Department of Public Health 28235
Improvement Permit
Authorized State 44—t: Date: `i --'1 5 SEE ATTACHED SITE SKETCH
The issuance of this per mi a 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, .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: PROPERTY LOCATION: ZZ/s—,, '✓ C�..rg� C
SUBDIVISION ��,,' LOT # ff
Facility Type: _ /New ❑expansion ElRepair
Basement? ElYes No Basement Fixtures? ElYes o
Type of Wastewater System** (Initial) Wastewater Flow: 3� GPD
(See note below, if applicable EI)
j,Ji k r4 A, 7 /.�� y (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /"" gallons Exact length of each trench 7Q feet Trench Spacing: Feet on Center
Pump TaTrenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: ZR? IS 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
Conditions:
inches below pipe
Aggregate Depth: Z inches above pipe
fvj s'. J r .2--5 —17—� inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type spec
iped is different from the type speciTed on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
Thk rnmtmrtinn Aothndratinn ie sohiert to revocation if the site clan. olaL or the intended use chanties. The construction Authorization shall not be transferred when there is a chance 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 tint: Date:
Construction Authorization Expiration Date: --2,D
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: trl,7 7i7/�5�32r t'T�(s' --ir
S� /to
ISSUED TO:
SUBDIVISION
LOT #
NEW
REPAIR
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z t
Projected Daily Flow:
3C,q-0
GPD
Number of bedrooms:
Number of Occupants: _max
Basement ❑Yes
�3
2 -No
�
Pump Required: ❑Yes
El No
Z Marequired based on final location and elevations of facilities
Type of Water Supply:
❑ Community
Public ❑ Well Distance from well feet Permit valid for:
Five years
Permit conditions:
❑ No expiration
Authorized State 44—t: Date: `i --'1 5 SEE ATTACHED SITE SKETCH
The issuance of this per mi a 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, .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: PROPERTY LOCATION: ZZ/s—,, '✓ C�..rg� C
SUBDIVISION ��,,' LOT # ff
Facility Type: _ /New ❑expansion ElRepair
Basement? ElYes No Basement Fixtures? ElYes o
Type of Wastewater System** (Initial) Wastewater Flow: 3� GPD
(See note below, if applicable EI)
j,Ji k r4 A, 7 /.�� y (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /"" gallons Exact length of each trench 7Q feet Trench Spacing: Feet on Center
Pump TaTrenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: ZR? IS 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
Conditions:
inches below pipe
Aggregate Depth: Z inches above pipe
fvj s'. J r .2--5 —17—� inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type spec
iped is different from the type speciTed on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
Thk rnmtmrtinn Aothndratinn ie sohiert to revocation if the site clan. olaL or the intended use chanties. The construction Authorization shall not be transferred when there is a chance 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 tint: Date:
Construction Authorization Expiration Date: --2,D
HTE# 6Z�'��
Permit # Zg2 3�5—
epartment of Rtblic Health
Site Sketch
PROPERTY LOCATO
ISSUED TO: _/ � GJ�-' &P so -0 SUBDIVISION
Authorized State
Date: 3— y — 1 5—
t5
—
D
Ln
6
D
LOT # //