IPAC RHTE# Harnett County Department of Public Health 28884
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
'" / PROPERTY LOCATION: Xw.1,00"i, (-a 4F AJ\
ISSUED TO: / 1 f �T1S� + %7'j'rLi7�t.L S �o CSUBDIVISION L-) Pei -k -k,4— LOT #
NEW LM REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: 4-10 IdN GPD
Number of bedrooms: Number of Occupants: max
Basement []Yeso
Pump Required: ❑Yes ❑ No jz M be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9 Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
LIYFive years
❑ No expiration
Authorized Stat ent Date: G —/ "/ ' - (r SEE ATTACHED SITE SKETCH
The issuance of this permi y th 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 revocati 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 constmcoon and installation requirements of Rules .1950, .1951, .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: Z/A"— fy2 f<, .nw e- PROPERTY LOCATION: ;F0 rSAZ L,p� .oma
/ SUBDIVISION l 9—i�t�r : ate. LOT # a Z
Facility Type: ��"'� L� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes S10
Type of Wastewater System' ZS'2o flQ✓yv u -..,t S -z 3-4-� (Initial) Wastewater Flow: 'Yo 0 GPD
(See note below, if applicable ❑)
2-15V. lz&rk�— (Repair)
Installation Requirements/Conditions Number of trenches -Z)_
Septic Tank Size / gallons Exact length of each trench f t'—Ll feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. .Z q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing. �% Feet on Center
Soil Cover. Y Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
4 inches below pipe
2— inches above pipe
202- inches total
**If applicable: / understand the system type Whiled is diferent from the type specified on the application. / accept the specilcatians o/ 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 Automation 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
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Date: L—d //
Construction Authorization Expiration Date:
HTE# l �- �' 3b45"134 Permit # ZSSSy
Harnett County Department of Public Health
PROPERTY
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ISSUED TO: /" I£M6,61 F �T T Sc S—`�G SUBDIVISION G /
Authorized State Age Date:
Z57
%�a,.�� X55
/ Y-
LOT #