IPACHTE# 3q q&?— Harnett County Department of Public Health
29060
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: T7 6 /r-6
ISSUED TO CSS t /gy-SD S W�c SUBDIVISION r� LOT # SI
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5{-�
Proposed Wastewater System Type:
Projected Daily Flow: 3c&�Z GPD
Number of bedrooms: Number of Occupants: max
Basement ❑YesNo
Pump Required: es ❑ No ❑ May✓be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f3' Public ❑ Well Distance from well feet Permit valid for.Five years
Permit conditions: fl No nvniraeinn
Authorized Stat ed(w� a ill y1� Date: z — L SEE ATTACHED SITE SKETCH
The issuance of this permit b e ealth Dep y guarantees the issuance of other permia The pemdt holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
:ice is subject to reroation site plan, plat or the incended use changes. the Improvemein 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, .1952, .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:S �^�G�F (r3rJL1 t7 6� S Lam- PROPERTY LOCATION' (3-?
SUB ?VISION 1 _ LOT # S
Facility Type: 53 New AND Ll Repair
ElBasement? Yes No Basement Fixtures? El Yes No
Type of Wastewater System** Z`5D/6IZ�d o -711 --mac xS� a7 — (Initial) Wastewater Flow: (4— c> GPD
(See note below, if applicable ❑) 7�
2'Si4 �� �i�ST �� (Repair)
Installation Requirements/Conditions Numbe of trenches 3
Septic Tank Size 0040 gallons Exact length of each trench Bo feet Trench g S acin : Feet on Center
P
Pump Tank Size �_06y gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. _� '1� 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: h. TDH vs. GPM Y inches below pipe
Aggregate Depth: _� inches above pipe
Conditions: 17 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: / understand the ;wtem type .rpeciled it different hum the type tpedled on the app/nation, / accept the speciltadonr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revonfion it the lice plan, plat or the incended use changes. the Conswaian Authorintion shall not be transferred when there is a change in ownership of the sin. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and in the LLconsiders of this permit. SEE ATTACHED SITE SKETCH
Authorized State At Date:
Construction Authorization Expiration Date: —
NTE# T(�—-3
ISSUED TO:
Authorized State Ag
c
Harnett County Department
Site Sketch
Permit # 2 gv6�v
of Alblic Health
Sn-