IPAC RHTE#/ci -s--3-576&1. Harnett County Department of Public Health 28390
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION: yv 7 /2ALt 15 u v 6
ISSUED TO: %� 2 ��G SUBDIVISION i;'! �Atb Ldam &ZCf F— LOT # 2-8
NEW I' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5/' P�
Proposed Wastewater System Type: 2�5
Projected Daily Flow: -3 Ce GPD
Number of bedrooms: 73Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No 0 Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for: 21 -ive years
❑ No expiration
Authorized State Age Date: ' 3 — / SEE ATTACHED SITE SKETCH
The issuance of this permit by t n th 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: 14 2 PROPERTY LOCATION: -9( /`N 7 / 5 0 U6 JZeb
SUBDIVISION (h U' -I- g2 ' LOT # 28
Facility Type: New ❑ Expansion Repair
Basement? ❑ Yes YNo Basement Fixtures? ❑ Yes 1 o
Type of Wastewater System" Z5'/o ieQ'�5y c k- ADt � (Initial) Wastewater Flow: -3&d GPD
(See note below, if applicable EI)
0C�� �I�(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size% DD 0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench 12-0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. '2-9 -i l A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: 2 inches above pipe
Conditions: a / y % % 2' Gf —/2- inches total
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.
**If applicable: /understand the system type specified is different from the type speciTed on the app/kation. /accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site clan, slat, or the intended use chances. The Construction Authorization shall not he 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 nt: Date: 4 - - r s-
Construction Authorization Expiration Date: (S .-- '? - 2Z2)
HTE# iq 3'6-Z691Z Permit # 2-8.3x1 b
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 15L
ISSUED TO: S c Z- CC SUBDIVISION LOT
/ 12!--
Authorized State Ag6?��� 6",(74- Date: I S
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