IPAC RHarnett County Department of Public Health 28697
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/1 PROPERTY LOCATION: 27 LZ 1 S G1Yf z py7/C d UQ
ISSUED T : H� �% r?Q,, ,� /� y Jae? SUBDIVISION L. /� LOT # 1_
NEW REPAIR ❑0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: — ,00 s j
Proposed Wastewater System Type: 2 -T -'2 n. t u t
Projected Daily Flow: - cP R -o GPD
Number of bedrooms: U Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
f�be required based on final location and elevations of facilities
Public ❑ Well Distance from well feet
Permit valid for.
Z Five years
❑ No expiration
Authorized State A nt: C . V > - Date: Z — ZG iSEE ATTACHED SITE SKETCH
The issuance of this permit by a Health Department in no way guarantees the issuance of usher permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation tribe site plan, plaR4 or the intended use changes. The Improvement Permit shall not he 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 .i9so, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met. Systems shag be installed in accordance
with the attached system layout
ISSUED TO: $j &,,,)K), PROPERTY LOCATION:�9cZZis
SUBDIVISION GP LOT #
Facility Type:F c S > Q" New C} Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? E] Yes
NO
Type of Wastewater System** S4 (Initial) Wastewater Flow: !V80_ GPD
(See note below, if applicable ❑)`
!n 71 1% 06-1 cy 'r7 (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size / Z co gallons
Pump Tank Size gallons
Pump Requirements: h. TDM vs.
Conditions:
Exact length of each trench /'F-6 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of.eJ� inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
GPM
Trench Spacing: _ Feet on Center
Soil Cover. �_ inches
(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.
(a inches below pipe
Z inches above pipe
inches total
**If applicable: / mrdentand the ryttem type .rpecited it diNemnt /tom the type tpecifed on the app/iration. / accept the Jperi6ubonr o/ t& pemAit
_.. __a_..._r. _._..».....,b.,. -- Date:
This cnnsl MOa Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when then u a change in ownership of the sin. Thu
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 tint: �� �� �s Date: z —z6 —�
Construction Authorization Expiration Date: _ 7—Z e,
HTE# t IS-- -- 36433R Permit # 2191 97
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: �5'(7 Z/ s L4 -f �// l'f����� //D
ISSUED T0: �7 -,_ �r/P� Sa r� SUBDIVISION LOT #
7 Authorized State Agents -- A Date: _ %- 7 42
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