IPAC RHTE# Harnett County Department of Public Health 28998
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: SlL77Q t( /pLrkLei-cal
ISSUED TO: 06� SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 17%
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: ��max
Basement ❑Yes No
Pump Required: []YesElNo 114ayvi required based on final location and elevations of facilities
Type of Water Supply: ❑ Community V Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
ba tive years
❑ No expiration
Authorized State int: Date: 7 J -/(, SEE ATTACHED SITE SKETCH
The issuance of this permit by t th 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 revocation if the 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
Reouired for Buildin¢ Permit
The contraction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1950. and .1959 arc incorporated by references into this permit and shall be met. Systems shall be installed in accordane
With the attached system layouts (�
ISSUED TO: d e �' Yfd72fCS�j[_ PROPERTY LOCATION: aC zi� (
` r SUBDIVISION LOT #
Facility Type: Dl,�n+ tf C NewExpansion E3Repair
Basement? ❑ Yes 56 No Basement Fixtures? I]Yes Lb No
Type of Wastewater System" (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
_Z1 (Repair)
Installation Requirements/Conditions Number of trenches /l�
Septic Tank Size D6 a gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a�,q./ Soil Cover: �- inches
Maximum Trench Depth of: ZZid � • tin es (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 inches below pipe
n'S� Aggregate Depth:, inches above pipe
Conditions: a �7 inches total
WATER LINES (INCLUDINGARIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable: / ondeutand the ryrteny type spedfred is different irony the type rpedhed on the app/irrbon. / accept the rped&ationr of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization u subject to revocation if the site plan, plat or the intended use changes. The concoction Authorization shall not be transferred when there is a change in ownership of the site. This
contraction Monetization is sutlect to compliance with the prowSrom of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit At AI IAIntV )lit )RttLn
Authorized State Date: a 14.,
Construe ion Authorization Expiration Date:
HTE#.1 lo— Permit # Z8�1g8
Harnett County Department of IlUblic Health
Site Sketch
PROPERTY LOCATONx —70 �I s/i 160,
ISSUED TO: ( SUBDIVISION LOT #
Authorized
v� �8I 'Iv vl N�