IPACHTE# It S 3'�)z `i 3 Harnett County Department of Public Health 28977
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
L e PROPERTY LOCATION: 5,L /J fi I i 3? r S K I
ISSUED T9 C/d S %sem— �* *aTs [uc r a -ice SUBDIVISION W -'Y lrn, BA. e <_ LOT # 4�
NEW Hf REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 r—'--:->
Proposed Wastewater System Type: 2-Yc% 2'= v', it a-L�
Projected Daily Flow: 3fe0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement DY C3No ��
Pump Required: ❑Yes El No LK Ma ' required based on final location and elevations of facilities
Type of Water Supply: El Community Ibljc ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
2'Five years
❑ No expiration
Authorized Statedgent- J�/����i �i.a ~�1 Date: Q. -t5 =(Cr SEE ATTACHED SITE SKETCH
The issuance of this permit by pl a IJe81th—t in no way guaranmes the issuance of other permits. The permit holder is responsible (or checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it k eessite 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, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met. Systems shall he installed in accordance
with the attached system layout.
ISSUED TO: PROPERTY LOCATION: -%I— I��ul t�c. Ct o %Z 1, JS 14)
/ SUBDIVISION _L -2,c -U rc )A^,sa fc LOT #
Facility Type: J f3 New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes sr No
Type of Wastewater System" 25'2v QJ�-aU &TLer-- (Initial) Wastewater Flow: 6�c�l GPD
(See note below, if applicable ❑)
25 - (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /006 gallons Exact length of each trench 10o feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 76 7tGi inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
Trench Spacing: — �, Feet on Center
Soil Cover: _w> inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above r
inches total
**If applicable: / understand the rystem type rpeciled is different from the type spedled on the application. / accept the specifications of this pemzit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The contraction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is
Authorized
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this Permit. SEE ATTACHED SITE SKETCH
�a
Date: A—/ ;--t (o
Construction Authorization Expiration Date: 0 —1 s' Z4
NTE# � to _ S "�� 2"I Permit # Z 1 '-77
Harnett County Depailment of Public Health
Site Sketch
// L' PROPERTY LOCATON:- '4 I /j� [ ��c� X/ 4/-) 5 /Z -,))ISSUED TO: C/k540- - SUBDIVISION I,J rt LOT #
Authorized
Date: P -:- S =/6
5 -F-12 F_F_f