IPACHTE# 1fc'S-3siV:�(e Harnett County Department of Public Health 28881
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
` � /' f PROPERTY LOCATION: 2K L—q��a,'til _�aa�
ISSUED TO: S /rU4,t_o---, SUBDIVISION LOT # _5
NEW ❑ REPAIR ❑ EXPANSION
Type of Structure: EX Sf�
Proposed Wastewater System Type: 2t' ` /2� l� trvrr�
Projected Daily Flow:la.a GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes ❑ No CilMa 4e required based on final location and elevations of facilities
Type of Water Supply: El Community G3 Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State Agnt:__�wa--� C f' 4� 57 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit bythe alth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation it ", 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 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 .1950, .1951, .1954, .1955, .1956, .1951, .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: ���� PROPERTY LOCATION: SYJ/� r+aFxT, /Ll>
SUBgEVISION LOT # S
Facility Type: t El New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ENo
Type of Wastewater System** Zscob f 16r1L.C4-14- .Si ., 44 -ca— (Initial) Wastewater Flow: 3t_0 GPD
(See note below, if applicable EI)
2sw'2(Repair)
Installation Requirements/Conditions Number of trenches/2
Septic Tank Size gallons Exact length of each trench /moo feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 22-"' inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: N. TON vs. GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Lover:�_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE TOFF. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
2 inches above pipe
/ Z inches total
**If applicable: / understand the ifrtem type rpecihed it di/lerw from the type spedfved on the application. / accept the rpecifcationr of thir 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 sire. 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�� Date: -/y lip
Construction Authorization EXDiration Date: 6 -/Y-7l
HTE# f ��S 3��i L Permit # —Z� � � t
Harnett County Depailment of INiblic Health
Site Sketch
PROPERTY LOCATON;�[lTtl/4 1C1)
ISSUED TO: GA,i.w. 41 SUBDIVISION LOT # S
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Authorized State
lc 6 t)
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