IPAC RRHTE# / s`d907%�,, Harnett County Department of Public Health 28367
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C"q/-0
ISSUED TQ/ SUBDIVISION LOT #
NEW K REPAIR ❑ EXPA SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5iG� 1-- i ---)Q V
Proposed Wastewater System Type:
Projected Daily Flow: `/ GPD
Number of bedrooms:— Number of Occupants: g max
Basement ❑Yes 0 No ��
Pump Required: ❑Yes No L� May required based on final location and elevations of facilities
Type of Water Supply:
El
Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
B'—ive years
❑ No expiration
Authorized State ` Date: Lf --3� —/5` SEE ATTACHED SITE SKETCH
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
The issuance of this permit
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: �) -1�.eZ�i-e� PROPERTY LOCATION: S2 -450Z lJ440---
v SUBDIVISION LOT # /
Facility Type: <V�+ a --Q- 6-09't /New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Z� �u Z9�� — SSR ___ (Initial) Wastewater Flow: � GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions V Number of trenches
Septic Tank Size ) Lod gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench /5-0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 2N-) inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 7 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
_ inches below pipe
Aggregate Depth: Z inches above pipe
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.
inches total
**If applicable: l understand the system type specified is different from the type specified on the application. l 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 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 G— Date: Lf ` 3� — t5—
Construction Authorization Expiration Date: V-36 —2 C)
HTE# L/��� /� Permit # 21
Harnett County Department of INiblic Health
Site Sketch
PROPERTY LOCATON:/�3Z
ISSUED TO: GJE'-1Iv SUBDIVISION LOT # /
Authorized State A Date: 30 ` 5'—
Z�