IPACHTE# Ile' 5-- -3`9Zia % Harnett County Department of Public Health 28969
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
'— '/ /�/7 PROPERTY LOCATION: (�� JCc/l�eS i
ISSUED TO: eAck/ OVA't4 SUBDIVISION LOT #
NEW ❑ REPAIR fdr EXPANSION ❑
Type of Structure: t '—a
Proposed Wastewater System Type:
Projected Daily Flow. 0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes f9 No -
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes (J No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ❑ Well Distance from well feet
Permit conditions:
Authorized State Agefit: .
The issumn of this perms -fly
site is subject to revocation it
the laws and Rules for Sewage
Date: -6 — T "-
Permit valid for:
f2' Five years
❑ No expiration
SEE ATTACHED SITE SKETCH
th Department in no way guaiantes the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
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
or and Disposal and to conditions of this permit.
Construction Authorization
Reouired for Buildine 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: (D9ti—//1 62444,) PROPERTY LOCATION: i —w—
SUBDIVISION LOT #
Facility Type: r t !V:% ❑ New ❑i Expansion Q Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes EANo
Type of Wastewater System**
(See note below, if applicable G
y
Vt (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size fI;;E� gallons Exact length of each trench /00 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of I Fj inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
(Initial) Wastewater flow: GPD
Conditions:
Soil Cover. G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
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
J -7, inches total
If applicable: / undeatand the rystem type speci/ed is different from the type specified on the app/kation. / accept the specifIcationr of thif permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation R 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 site. This
construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State enter—�� /k" l� e— Date:
Construction Authorization Expiration Date: e — / — Z 1
HTE# U, - �- 39Z1o7 Permit # Z8-1ya ! '
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: -S e
ISSUED TO: iP AGC �V r r .J SUBDIVISION LOT #
Authorized
01
5
(ZNco�J -:�i