IPAC RHarnett County Department of Public Health 29052
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
/ /�- — PROPERTY LOCATION•
ISSUED TO: G5 /rte SUBDIVISION LOT #
NEW 1Y REPAIR ❑/� EXPANSION ❑ Site Improvements requirerior to Construction Authorization Issuance:
Type of Structure: `X�
Proposed Wastewater System Tyyppe: $filo rCaEZO t7to—,_-
Projected Daily Flow: 3(fl0 GPD
Number of bedrooms: N7umber Occupants: �P max
Basement []Yes No
Pump Required: []Yes ❑ No Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized Stals'Ageq •• ✓ Date: — G — SEE ATTACHED SITE SKETCH
Be issuance of this permit the eallh Department in no way aranrees the issuantt of other permits. The permit hold is responsible for Cheding with appropriate governing bodies in meeting their requirements. This
site is subject to revonti sire 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 .1958, .1952, .1954, .1955, .1956, AM, .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 T0: vGs PROPERTY LOCATION:, S_,IWZL!S17w /a
SUBDIVISION 60LOT # 60—
Facility Type: —S New Expansion ❑ Repair
Basement? ❑ Yes Rf No Base ent Fixtures? ❑ Yes No
Type of Wastewater System" ZS`o,�p�zn (Initial) Wastewater Flow: 54zc�' GPD
(See note below, if applicable ❑)
25"`1✓ (Repair)
Installation Requirements/(onditions Number of trenches
Septic Tank Size _.&M gallons Exact length of each trench 70 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 2f VY inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDN vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
4 inches below pipe
Z inches above pipe
/Z inches total
**If applicable: / understand the system type specified it different from the type spealed an the app/icanon. / accept the speci5cananr 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. Be Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Unstmcnon Autnunzanon is subject to compliance with the provisions of the Saws and Rules lot Sewage Treatment and Disposal and to the conditions of this permit 5e[ AI IAIneU 511[ SRtlln
Authorized State nt: Are-A(0540"y Date:
Construction Authorization Expiration Date: — — 2
NTE# Ik '�' J����I Permit # < n% b5Z
Harnett County Departinent of Miblic Health
Site Sketch
PROPERTY LO(ATONa�L 3 IOC'o�
—/
ISSUED T0: �i (.� S � j` _SUBDIVISION LOT # 60
/+
Authorized State nr. G Date: 7 ' 2 Elio
H
Ca"Z641 7W. LA)