IPAC RHTE# Hal. -tt County Department of Public .jealth 28101
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�+ o PROPERTY LOCATION:
ISSUED T . .re ^ YSUBDIVISION �%SC & o« LOT # /06
NEW 9 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 °
Proposed Wastewater System Type: djT�7,eel s c5. r.
Projected Daily s: 0 GPD
Number of bedrooms: i Number of Occupants: _max
Basement Dyes CSR o
Pump Required: ❑Yes f(No ❑ Ma a required based on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community l!r Public ❑ Well Distance from well feet
Permit valid for.
Egl—iye years
❑ No expiration
Authorized State Agent: �j /eN��-- %a Date: � `� Y / / (o /oC° / 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Rwlth Department in ns- o wa-the issuame 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 taws 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 .19So, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references raw this permit and shall be met. Systems shall be installed in accordane
with the attached system layout
ISSUED TO: f1 4rf/crJ rare4/ PROPERTY LOCATION: / %•'r d
SUBDIVISION 4r c a LOT # /c C
Facility Type: j/G fd' New ❑ Expansion ❑ Repair
Basement? ❑ Yes 64' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** d5 14A. (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑).a�+y
qac./ /u,eed�c.i—'•�,. IAI (Repair)
Installation Requirements/Conditions Number of trenches /
Septic Tank Size /400 gallons Exact length of each trench &0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 -e2 yr inches
Maximum Trench Depth of: /8-3u 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: h. TDM vs. GPM
inches below pipe
Depth: inches above pipe
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 system type spec/fled is diferent hm the type sped'ed on the application. / accept the specifcabons 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
�p�mvissiionsoof the Laws
®and Rules for Sewage Treatment and Disposal and to the conditions of this permit SLL AI IALHLU SIIL SKLILH
Authorized State Agent-/Z� w , �d�//if Date:c H 2G<it,
Construction Authorization Expiration Date: or oto .11
HTE# `/P- Permit# P2M�t
Harnett County Department of Public Health
ISSUED TO:
Authorized State Agent:
aw
Site Sketch
P OPERTY LOCATON:
No SUBDIVISION tF act /_ LOT # �� C
Date: iy Fi (.1wQ ! 6
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