IPAC RHTE# - 72V IZ Har,.-tt County Department of Public .Aealth
28077
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ter° /1!�16
ISSUED Ix 19 SUBDIVISION LOT #
NEW Li'l REPAIR cfl
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: —�
Proposed Wastewater System Type: 05—Zi
Projected Daily Flow: 3 GPD
Number of bedrooms:
Basement ❑Yes ZINo
Pump Required: ❑Yes C- 'No
Type of Water Supply: ❑ Community
Permit conditions:
Number of Occupants: max
❑ May,,l;nrrequired based on final location and elevations of facilities
Public ❑ Well Distance from well feet Permit valid for: 2 -Five years
❑ No expiration
Authorized State Age .. Date: —= 7— 7D yg' SEE ATTACHED SITE SKETCH
The issuance of this permit b e H h Department in no way guarantee the issuance of other permits. The permit holder is responsible for the king with appropriate governing bodies in meeting their requirements. This
site is subject to revocation 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: AL( PROPERTY LOCATION: 1
SUBDIVISION L #
Facility Type: ` _ Z --New ❑l xpansion El Repair
Basement? El Yes No Basement Fixtures? ❑ Yes o o
Type of Wastewater System" 0/p r ,�a''�. (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
�l /' (Repair)
Installation Requirements/Conditions Number of tre rhes
Septic Tank Size gallons Exact length of each trench 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-- 2'41 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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 specified is different from the type specified on the application. / accept the speci inations 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 Stat gent: Date: `, =- ��.�--, 36 y r
Construction Authorization Expiration Date: / �--i--= `) --7-76-06
HTE# `I—� 2 /Z Permit # 2 7
Harnett County Department of 1 1�-tblic Health
Site Sketch
PROPERTY LOCATON:c�SgL.._ P5 J1 ` Vkj5kr,,,, (OV2 / c,, lZb
ISSUED TO: %� E— _ SUBDIVISION LOT #
All
Authorized State ent: Date:/5—
5
Z,,r`leo 4t
PUS' ins �3E
ISSN LxNf 7-D