IPACHTE#/6- 5- 3Sy` -PJI Harnett County Department of Public Health 28883
Improvement Permit
A building permit cannot be issued with only an Improvement Permit /./
�/ ph/lva�at r PROPERTY LOCATION:he_/SL�2:ZS e+&0e� /U.)
ISSUED TO/: SH C ! —r --'o cog �n 7L SUBDIVISION A e; j& LOT # 3Y
NEW CN REPAIR ❑ %PANSION ❑ Site Improvements required prior to Construction Authorisation Issuance:
Type of Structure: 5-dh7
Proposed Wastewater System Type: 2 b-2, f Z-44-" z rz�
Projected Daily Flow: --k, Cv o GPD
Number of bedrooms:Number of Occupants: max
Basement Dyes G
Pump Required: ❑Yes ❑ No be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
li'five years
❑ No expiration
Authorized State A d /t (A� rem tT Date: SEE ATTACHED SITE SKETCH
the issuance of this permit bye H h 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 it a 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 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, .19S7, .1954, .1955, AM, .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: Sf/C .SAO '4-Je PROPERTY LOCATION: Sr -r RJB
�� SUBDIVISION /4Aai �,-,, %�u r� s� - LOT # 3 q
Facility Type: 5 El New Expansion ElRepair
Basement? ElYes No Basement Fixtures? ElYes U%o
Type of Wastewater System** a ti Z T`2 t'ED /cats z ✓ (Initial) Wastewater Flow: --3s 6 n GPD
(See note below, if applicable ❑)
1r -a "Lbw✓ 1-2)&4si (Repair)
Installation Requirements/Conditions Number of trenches `f
Septic Tank Size / o rra gallons Exact length of each trench ::JL0 feet Trench Spacing: Feet on Center
Pump Tank Size / <syv gallons Trenches shall be installed on contour at a Soil Cover. — inches
Maximum Trench Depth of 2th inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
0 inches below pipe
2 inches above pipe
!Z inches total
**If applicable: / onderr and the system type specified is different ham the type sperihed on the app/iration. / accept the rped6cationr of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat or she intended use changes. The Construction Authodahon shall not be tmnderred when there is a change in ownership of the site. This
Lonstructlon Authoritarian Is subject to compliance with the provisions of the Laws) and Rules lot Sewage Interment and Umpoal and to the conditions of this permit JCC AI IAL11i )AIC 3111
Authorized State Ageot:i� / / Date:
Construction Authorization Expiration Date: A—f c/ 2�
HTE# = 38*�71 Permit# �Ea 3
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATOk7-3tlS-Z G —�.4s
ISSUED TO: �i�C A6 SUBDIVISION / LOT #
Authorized State
A --Date: �y L
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INS J- t -I'
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