IPAC RHTE#5-39-753,2 Harnett County Department of Public Health 29058
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/z PROPERTY LOCATION:M �37w/ /gats
ISSUED TQ16eteal imn1 U Gr -1- SUBDIVISION LOT # �
NEW 21' REPAIR ❑ EXPA N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
IKOYS --p-
Proposed Wastewater SystemT pe,::_ ^—
Projected Daily Flow: � GPD
Number of bedroo : ? Number of Occupants: max
Basementes No
Pump Required: es❑ No ❑ Ma a required b ed on final location and elevations of facilities
Type of Water Supply: ❑ Community Public Well Distance from well tfb a feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Date: K' /'f —/{. SEE ATTACHED SITE SKETCH
The issuance of this permn by 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 revoation if a sire pian, 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 previsions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Building Permit
The conviction 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 instalkd in accordance
with the attached systteemy layout. `L .
ISSUED TO: (9/1¢el�FiG% /�01/S�4/ T" PROPERTY LOCATION: M_/S5o4 //�
�� SUBDIVISION LOT #
Facility Type: L� L1 New expansion El Repair
Basement? El Nom Basement Fixtures? E]Yes LeT No
Type of Wastewater System" y --a0 4"6 75 ✓«t0c�d tJ� sr^� �$- (Initial) Wastewater Flow: .3&6 GPD
(See note below, if applicable ,, ,y 0 /
1-'b 2s-% 6 �-� t� (Repair)
Installation Requirements/Conditions 9Number of trenches 3
Septic Tank Size ' ob 0 gallons Exact length of each trench /b0 feet Trench Spacing: ! Feet on Center
Pump Tank Size / oc d gallons Trenches shall be installed on contour at a Soil Cover. % inches
Maximum Trench Depth of: glj /� inches (Maximum soil cover shall not exceed
(french bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TON vs. GPM
Aggregate Depth:
Conditions:
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
2 inches above pipe
inches total
**If applicable: / ondemstand the system type speciled is different from the type speciled on the application. / accept the sped inations of this permit
Owner/Legal Representative Signature: Date:
This commission Authorization is subject to revocation if the site plan, plat, or the intended use changes. The construction Authorization shall not be transhrved when there is a change in ownership of the site. This
Lonstruchon xuthomation is subject to compliance with the provisions of the Laws and Rules for Sewage treatment and Disposal and to the conditions 01 this permit HE PI INMCU HIC aR[ILn
Authorized State enC 2 Date: g 'l tf i�_
Construction Authorization Expiration Date: ,rY-Z
HTE# ./lo —5-- 0-7F5 Z
ISSUED TO:
Authorized '
Permit # 2-5c5 c5-6
Harnett County I)epailment of Public Health
Site Sketch
PROPERTY LOCATON::6f ( 5&(
r SUBDIVISION a LOT # �_
S � J
10t
4
Date: `7�' /u '(6
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