IPAC RHTE# -3 -S5 3/Z Harnett County Department of Public Health 28859
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
c / PROPERTY LOCATI%,K / %D "7 nJ 9E?2; rad � st_i�
ISSUED Tt}.. G�i J �.�,4� pig SUBDIVISION LOT #
NEW REPAIR ❑ 7 EXPANSION FJ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 F-- I -D
Proposed Wastewater System Type: /we. w �0 7S`�/o /T�1iVGZIU
Projected Daily Flow: 25!06 GPD
Number of bedrooms: 9 Numberof Occupants: fa mag
Basement []Yes No
Pump Required: []Yes ❑ No�Ma�be required based on final location and elevations of facilities
Type of Water Supply: El Community E Public ❑ Well Distance from well DUB Net
Permit conditions:
Permit valid for.
E Five years
❑ No expiration
Authorized Stat gent: i e Date: 'S 18— 1 i' SEE ATTACHED SITE SKETCH
The issuance of u rat y t e lealth Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation W e site plan, plat or the intended use changes. The Improvement Permit shall not be affected by a dsange 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 is conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .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: J6;<, PROPERTY LOCATION( 747
SUBDIVISION LOT #
Facility Type: Eg New O Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 121" No
Type of Wastewater System`* ?-r-74 45% ITAA>VAZ-f� (Initial) Wastewater flow: 3. -O GPD
(See note below, if applicable ❑
a � 7/g`�la )7960tS 4v (Repair)
Installation Requirements/Conditions / Number of trenches �_
Septic Tank Size rlrya gallons Exact length of each trench feet Trench Spacing: �_ feet on Center
Pump Tank Size � ,rte o _ gallons Trenches shall be installed on contour at a Soil Cover. _ inches
.t
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: !' caches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z inches above pipe
/t inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 ;periled i; different from the type ;periled on the app/ical on. / accept the rperi6tationr of this permit
Owner/Legal Representative Signature: Date:
This (ommiction Authorization u subjstt to revocation if the site plan, plat or the intended use changes. The (construction Authorization shall not be transferred when there h a change in ownership of the site. This
wmsmmon Authermaton u subject in 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
r—.
Authorized State ent: - �- Date:
/ Construction Authorization Expiration Date:
HTE# //,— 5— 383 53 Permit # ZO �?5<�' 2
Harnett County Department of Public Health
Site Sketch
_ PROPERTYLOCATON�/-1—Iz=r7 l�F.>ch�uvs ✓a
ISSUED T0: �/�C �S� SUBDIVISION LOT #
Authorized State A c.'Z
,e�li�gy, Date:
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