IPACHTE# 354/ o Harnett County Department of Public Health 2906
Improvement Permit
A building permit cannot be issued with only an Improvement Permit/�Y
�— PROPERTY LOCATION;a /71 S— �1c ec Z!f Z
ISSUED T0: �� SUBDIVISION LOT #
NEW Y REPAIR ❑ EXPANSION ❑
Type of Structure:
Proposed Wastewater System Type: 215-42a 2cr �--
Projected Daily Flow: (<0 GPD 7
Number of bedrooms: Number of Occupants: So max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Yes ❑ No ❑ MXae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E2 Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for. &rive years
❑ No expiration
Authorized Sta ent: L (R./t /3+t�7 Date: 9 —71 L& SEE ATTACHED SITE SKETCH
The issuance of this permit by he lealth Department in no v,y guarantees the issuance of other permits The permit holder is responsible for checking with appropriate gaveming bodies in meeting their requirements. This
site is subject m revocation if 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 on, conditions of this permit.
Construction Authorization
(Required for Building Permit)
The commitment 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• 6""" /' PROPERTY LOCATION: Z5�I7Z �L��r�7GJa�� V✓
SUBDIVISION LOT #
Facility Type: `fir/'� New xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** �f —m 4 --ab 2 + — (Initial) Wastewater Flow: 34i� GPD
(See note below, if applicable ❑)
T,� 0 Z.6 %2 a . (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Ul» gallons Exact length of each trench hr) feet Trench Spacing: Feet on Center
Pump Tank Size ; l�6y gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: IV A041 � 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: —ft. TDH vs. GPM !O inches below pipe
rel L Lr: r s (Z uC f3 Lf Aggregate Depth: Z inches above pipe
Conditions: bY-a ,/L inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"'If applicable: / understand the system type speciled it different from the type specified on the app/kation. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject m revocation if the site plan, plat, or the intended use changes The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject he compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit btt AI IAI-NtD NIL MLIIN
Authorized St ent: Date:
Construction Authorization Expiration Date:
HTE #16-5— 35(-10
Harnett County
Permit # 2'50(-' /
Departinent of Public Health
Site Sketch
PROPERTY LOCATON:�/775 lw
ISSUED TO: OCEQ� l,(/�� �I�IIi�/ SUBDIVISION LOT #
Authorized State ent: Date:—Tib' Al
l
I �y
a
5 _ _