IPACHTE#/S=S -3(p8�-7 Harnett County Department of Public Health 2855
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Ate,.. 421
ISSUED T0: f q U/y BDIVISION a LOT #
NEW EPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: /6Y o V e D 5 r�
Proposed Wastewater System Type: ZS'O/n 1764yjtA-Ldp
Projected Daily Flow: 2 `i 0 GPD
Number of bedrooms: Number of Occupants: 4 max
Basement ❑Yes ��
Pump Required: f es ❑ No ❑ Mape required based on final location and elevations of facilities ��
Type of Water Supply: 1-1CommunityPublic El Well Distance from well feet Permit valid for. [TFive years
Permit conditions: ❑ No expiration
Authorized State A 014&4AAC - w Date: _�` —/b—/ �� SEE ATTACHED SITE SKETCH
The issuance of this permit by a catch Deparenent 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 iHre site On, 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 taws and Rules kr Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permi j
The conunction and installation requirement of Rules .1958, .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 arched system layout
ISSUED TO: r1oloti�—' %� [1 '�G SPROPERTY UED V S ONOCATION: 4 4 2 I LOT #
Facility Type: A1101/" P�b L( NewOxpansion ElRepair
Basement? F-1YesNo Basement Fixtures? 11 Yes No
Type of Wastewater System" Z'5% U I $,a 4-111--- (Initial) Wastewater Flow: -740 GPD
(See note below, if applicable ❑)
T-9), PS 53 a.-+(1 r6lork (Repair)
Installation Requirements/Conditions Number of trenches S
Septic Tank Size /0" gallons Exact length of each trench 70 feet
Pump Tank Size /dU D gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. V, td" ��iriches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
94)
Trench Spacing: / Feet on Center
Soil Cover. nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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
Z inches total
"If applicable: / ImAkitand the tyttem type rpetiped it different flVM the 9pe rpeu6ed on the app/iradoo. / accept the rpetdtationt of thin permit
Owner/Legal Representative Signature: Date:
This construction Authonutnn is subfect to revoaton if the site plan, plat or the intended use changes. The contraction Authoritarian shall not be transferred when then is a change in ownership of the site. This
consntton numoneauon 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 Sta ent: Date: moi- le -,
Construction Authorization Expiration Date: - , a - Z 0
HTE# 15%5 — 06�—% Permit # ?B�S'1
Harnett County Department of Public Health
Site Sketch
PR ERTY LOCATON:
ISSUED TO: BDIVISION — � LOT #
Authorized State A t Date:
10
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06
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