IPAC RRHTE# 07— T —J 7/.is5— Harnett County Department of Public Health 29057
Improvement Permit
' buildi ermit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S
ISSUED T0: SUBDIVISION s+ LOT #
NEW (� REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sri
Proposed Wastewater System Type: r� 2`5-2y tw.i9
Projected Daily Flow: -5 6,b GPD
Number of bedrooms: �:s Number of Occupants: max
Basement ❑Yes C210
Pump Required: f�1'es ❑ No El May
,be required based on final location and elevations of facilities
Type of Water Supply: ElCommunityPublic ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
f3 -five years
❑ No expiration
Authorized State Ag t: C— Date: Y /of -Y& SEE ATTACHED SITE SKETCH
The issuance of this permit by Bald 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1951, .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: G PROPERTY LOCATION:/.565" /
—/ ❑�
SUBDIVISION
Facility Type: 0�1� OR New --
/ Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? ❑ Yes ls3 No
Type of Wastewater System** rade 2 <% (L90k, (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
l— 1 Y "g, (Repair)
Installation Req_uirementt/Condition Number of trenches I
Septic Tank Size /Ov 0 gallons Exact length of each trench 2yy feet Trench Spacing: Feet on Center
Pump Tank Size /8" gallons
Pump Requirements: h TDH vs.
Conditions:
Trenches shall be installed on contour at a
Maximum Trench Depth of: /9 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Soil Cover: 4i inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
inches above pipe
/7inches total
**If applicable: l imdeatand the smem type specified is different from the type specified on the application. l accept the spetdficadons 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 Authorisation shall not be transferred when there is a change in ownership of the site. This
Concoction Authorization is subject to compliance with the provisions of the laws and Rules for Sewace Treatment and
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag Date: /W —th
Construction Authorization Expiration Date: V — LL
HTE# 1?6d5"M Permit # IgD 7
Harnett County Department of Public Health
Site Sketch
ISSUED 1%0_/ { ,w ,I7.Jr ? �� �j./,�:(tSUBDIVISION /;ii-_� _r..'i..,_•w LOT # 6•
Authorized State Ag nt: Date:
Heal lyflc (*)