IPAC RHTE# F4%S1Z Harnett County Department of Public Health 28829
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ,vd krM
ISSUED TQ �Mn1 L/ Eil-116
— SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Gln) ✓ 04
Proposed Wastewater System T pe: Z�% RFr�tTLtZ tf�
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ISS No /
Pump Required: ❑Yes ❑ No f1vJ M be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
EZ Five years
❑ No expiration
Authorized State A _ �"�'Date: / —/Z -J� SEE ATTACHED SITE SKETCH
The issuance of this permit b Health Department 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 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 o1 Rules .1950, .19S7, .1954, .1955, AM, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in acwrdance
with the attacked system layout
ISSUED TO: AwAi-r-/ ,rllLo PROPERTY LOCATION: N62h4- Jhff-57-6exT'
1' SUBDIVISION LOT #
Facility Type: Li M Ft IJ New E31 Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 1�1` No
Type of Wastewater System** 2,5/u IZC- 6''V "M4D'eJ was fry (Initial) Wastewater Flow: 3�-e GPD
(See note below, if applicable ❑)
LJ -V Qsfl^i _�C (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size / D U p gallons Exact length of each trench 170 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of I % —Zo-Ly inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
/ inches below pipe
Aggregate Depth: 2 inches above pipe
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 it different hnm the type specified on the app/kation. / accept the specifications 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 it a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Caws and RRules for Sewage Treatment and Disposal and to the conditions of this permit. SEE AI IALHLU SITE SKLILH
Authorized StateGl'gent /2n1 -7"aJ' Date: N / Z
Construction Authorization Expiration Date: -/ Z/
HTE# 3192 59 e Permit # 2 8 2 5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:�()a� L� �� AL -.�'1-16e�,7'
ISSUED TO: 4WA) /—'16-c) Tl_ SUBDIVISION LOT #
Authorized State Aeerrt-�� G �`�A� ��( .�.</Date: y -I Z -
Z�) 577qj/,
121
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