IPACHTE#V t.— S —388Ca 1 Harnett County Department of Public Health 28978
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
y — PROPERTY LOCATION: 5—yUq I2 Ch .0 s/�a.s Lest PLA
ISSUEDTO F�i�?c7 �L�a=fez SUBDIVISION LOT #
NEW ly REPAIR 0 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 7S E`22 .
Projected Daily Flow: 2"Iti GPD
Number of bedrooms: Number of Occupants:-' _max
Basement ❑Yes No
Pump Required: es ❑ No ❑ M be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Rl Public ❑ Well Distance from well feet Permit valid for. 12 Five years
Permit conditions: ❑ No expiration
Authorized Statedlggnr: [°(i% < /JPO Date: ri — /Z,—/!( SEE ATTACHED SITE SKETCH
The issuance of this permit�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 u subject m revocesiad.lf�he 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 (or 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 shall be met Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: t��l s, o /9y /e2 PROPERTY LOCATION: ,:StI `f Y
SUBDIVISION LOT #
facility Type: —� Z' -'New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures.? ❑ Yes L -f No
Type of Wastewater System** (Initial) Wastewater Flow: Z Qn GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/conditions Number of trenches
Septic Tank Size Dom gallons Exact length of each trench -7 S feet Trench Spacing: Feet on Center
Pump Tank Size /D6y gallons Trenches shall be installed on contour at a Soil Cover. nches
Maximum Trench Depth of: I $ 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 TON vs. GPM LK inches below pipe
Aggregate Depth: '?— inches above pipe
(onditions: /2— inches total
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.
**If applicable: l understand the syrtem type specified is different from the type speciTed on the application, l accept the sped6catiom of 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 Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the previsions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. )tt AI IAlneu )II[ )RIAL"
Authorized Stat' Date: (a- t S— 1,6
t�f Construction Authorization Expiration Date: z
HTE# 110 3&g,4.I
Harnett County
Permit # Lg S —) 9
Department of ll'ihlic Realth
Site Sketch
PROPERTY LOCATON: IfTZ6'"��G�- 4,�✓Z�
ISSUED TO: �,I 6c"-� 4162 SUBDIVISION LOT #
Authorized State�'ent; =� Date: �Z�llo
31 r 4 (z CA. 5i—jA-- � /uS