IPAC RHTE#—yL�O� Harnett County Department of Public Health 28890
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LO(ATI03L41!f./Y 06
ISSUEDTO/• iia✓aal aA1,5 ZlTX1 ;CA SUBDIVISION ZAi`Cw.Ls r•'+�.Y r LOT # e�
NEW B REPAIR ❑ EXPANSION ❑ Site Impo vemenn required Firm to Construction Authorization Issuance:
Type of Structure:"��
Proposed Wastewater System Type: zs'a/a rZID%�.
Projected Daily Flow. GPD y80
Number of bedrooms:Number of Occupants: max
Basement ❑Yes No
Pump Required; es ❑ No ❑ MaIgee required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Rr Public ❑ Well Distance hom well feet Permit said for. ive years
Permit conditions: ❑ No expiration
Authorized State ens: G Date: f, `moi ueG 7 —/6-1 (o SEE ATTACHED SITE SKETCH
The issuance of His permit 9 e Health Department in no way guarantees the iuuanu of other persons. The permit holder is responsible for checking with appropriate generating bodies in meeting thew requir not This
site is subject co revoatim claw site plan, plat or th intended use changes. The improvement Permit stall trot be affected by a change in ownership of the site. This pi is suffers to compliance with the provisions of
the Ws and Rules kr Sewage Treatmem and Disposal and to conditions of our permit.
Construction Authorization
(Required for Building Permits
The connections and installation requirements o1 Auks .1950. .1952. .1954, .1955. ASK .19ST..1958. and .1959 are incorporated by references inns this permit and shall be met Systems shall be installed k accordance
with the mazhed system layout
ISSUED TO: ,4-- >tS_+rNl��iL�
`
Facility Type: �t / �
�iie
PROPERTY LOCATION:
SUBDIVISION
❑ zpansion ❑ Repidr
LOT # Z
LsY New
U/
Basement? ❑ Yes No
Basement Fixtures? ❑ Yes
EAo
4 90
Type of Wastewater System`* 7e'%
(Initial) Wastewater Flow: _ r GPD
(See note below, if applicable ❑)
,ZS—` F c:F; (Repair)
Installation Requirements/Conditions Number of trenches I* r
Septic Tank Size 149d O gallons Exact length of each trench Pb feet
Pump Tank Size / &fO gallons Trenches shall be installed on contour at a
Maximum Trench Depth of:: inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench S pacing: Feet on Center
P g
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Co
Aggregate Depth:
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.
inches below pipe
Z inches above pipe
�Z inches total
"If applicable: l undeacand the ryutem type tperiled a different from the rM apernSed on the application l arrept the tperifcarinm of tbit permit
Owner/Legal Representative Signature: Date:
Ties Conswction Authorization is subject to revaanon a the site plan. part or the counted we changes. The Consouttion AuAorwation shall not be transferred when there is a change in "inedible of Hit site. This
Cooewction Authorization is subject m compliance with the provisions of the taws and Rules fm Sewage treatment and Disposal ad to the conditions at On permit a[[ AIIAL n[u m[ an[nn
Authorized State Date: Z5» -d- —716-/ 6
Construction Authorization Expiration Date:
HTE# 83 O 0
1-larnett ('OnTltN
Permit #
2895'0
I)epal-fillont of Public Health
site sketch
PROPERLY LOCATO �/
i..
ISSUED TO: 62A.+ .l,-ebl AC i .T"7 SUBDIVISION ' ►C� LOT #
Authorized State AK: �— Date: 14
fi
v 6wl �o NJ-