IPACHTE#T/S-s--37f3y Harnett County Department of Public Health 28577
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: --2 /—)�s
ISSUED TO: 7—uS5ca-L SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION ^ET'� Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F— )c 5CW F - —Num /UCS f
Proposed Wastewater System Type: 7_1M I"7$!i — C—ZC 44C
Projected Daily Flow: Sino GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes 0 No J/
Pump Required: ❑Yes ❑ No [I M e required based on final location and elevations of facilities
Type of Water Supply: El Community Fblic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
ve years
❑ No expiration
Authorized State Age .: Date: a/o — 77 —i 3' SEE ATTACHED SITE SKETCH
The issuance of this permit by a Health Deparhnent in no A y guarantees thesuanca of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the tire 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, .1951, .1954, .1955, .1956, .1957, .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: ������ //,,_ 1hr1*1) PROPERTY LOCATION: '5(—
SU DIVISION
4_.SUBDIVISION LOT #
Facility Type: ❑ New ly Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2'ffo
Type of Wastewater System" Zj% (Initial) Wastewater Flow:
(See note below, if applicable ❑jam
jamb in 05102z:� (Uz3� (Repair)
Installation Re uirements/(onditions Number of trenches Z
a GPD
Septic Tank Size 15-- 6 gallons Exact length of each trench S C l 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 1`1 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM �_ inches below pipe
n y y gate Depth: 2 inches above pipe
Conditions: )!'7 7 dla€,s,rs /7;Aggre/z-- inches total
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.
"If applicable: / understand the s}rtem type specified is different from the type sped/ed on the application. / accept the spedfvcationr 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
Lonstm¢ion 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 Stt AI IA1.ntV alit .AMR
Authorized State Age Date: /0 - ZT —/
Construction Authorization Expiration Date: ro — 7 7 — Z0
NTE# Permit # 28 �;_7-7
Harnett County Department of 1"Itblic Health
Site Sketch
\ PROPERTY LOCATON: tyU537zk.s4,f,4.(f,—a,Id
ISSUED TO: & S I SUBDIVISION LOT #
Authorized State AZ!4Date: /b — ZZ —/
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