IPAC R (2)HTE#iIo-s -jo,!� tete? Harnett County Department of Public Health 28835
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION: �s-CesJS 40
�
ISSUED TO: � �/ Dln [ sW . n SUBDIVISION r� S V-ieKze-� a LOT # %
NEW 9 REPAIR El EXPANSION Site Improvements required prior to C tstroction Authorization Issuance:
Type of Structure: 5f:�6
Proposed Wastewater System Type: 7-5Vy
Projected Daily Flow: (ii GPD
Number of bedrooms: y Number of Occupants: max
Basement ❑Yes Calo
Pump Required: ❑Yes ❑ No f7rMay,be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E' Public ❑ Well Distance from well feet Permit valid for. Q'Tive years
Permit conditions: ❑ No expiration
Authorized State Age ' Date: '1-/'f —/(v SEE ATTACHED SITE SKETCH
The issuance of this perm y toe Hollis Department in no way guarantees the issuance of other permia The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation i� jt rFre pian, 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 requirement o1 Russ .1958..1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in actordana
with the attached system layout.
ISSUED TO: icoz, Dg S B/OG srtf J PROPERTY LOCATION: S4K /400
SUBDIVISION _ S LOT # Z
Facility Type: 5 ErNew ❑ Expansion ❑ Repair
Basement? ❑ Yes 0 -No Basement Fixtures? ❑ Yes 2 -10 -
Type of Wastewater System'" ` sS—' 2a -nu tiv-*- y S tyca-- (Initial) Wastewater Flow: 'C N3 GPD
(See note below, if applicable ❑)
2-<Z, /C�-rP/.-r_ '7--�'-1 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 7-1�0 gallons Exact length of each trench 106 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.. 2— inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. �� inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: L inches above pipe
iZ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 Wdfled is different from the type specified on the application. / acrept the spedficadans o/ this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subjea in 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 provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State ent: f � Date: U - /t4- / (P
Construction Authorization Expiration Date: '-f-rri -zr
HTE# IZ - S 5cc�/I Z1Z Permit # Z99,35—
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: et / .4 ih! ✓Sew
ISSUED TO: AS )3/D SUBDIVISION + /C LOT # Z_
Authorized State
(/.,�G �� .