IPAC RRHTE#9324 Harnett County Department of Public Health 29085
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIOFI2-ft/g j
ISSUED T0SUBDIVISION LOT #
NEW fg REPAIR 0 EXPANS211 ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Tyy e: Projected Daily Flow: ` f� GPD
Number of beNumber of Occupants: max
Basement ffI es /❑ No
Pump Required: es ❑ No ❑ Ma a required b don final location and elevations of facilities
Type of Water Supply: El Immunity, Public Well Distance from well feet
Permit conditions:
Permit valid for.
V ive years
❑ No expiration
Authorized Starenc: �— .:� +B]�— Date: 0 - /9 -A( SEE ATTACHED SITE SKETCH
The issuance of this permit fin a ealth Deparunent 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 m revocation a sin 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 taws 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, .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: �e i`T71Y 3T PROPERTY LOCATION: 15ai J� OGJ
SUBDIVISION LOT #
Facility Type: eew ❑ Expansion ❑ Repair
Basement? Y Yes ❑ No Basemegt Fixtures? A� Yes ❑ No
Type of Wastewater System** 7S (Initial) Wastewater Flow: Y GPD
(See note below, if applicable ❑)
l ` Z 4 A -a- (Repair)
Installation Re uirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench M d feet
Pump Tank Size Od gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 72-)l inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t TDM vs. GPM
Trench Spacing Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
t/ inches below pipe
_l,�,., YY Aggregate Depth: inches above pipe
Conditions: /a��lLY� S 4)z/1 --_a-_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: / ondeatand the rystem type spetiled is different from the type specified an the app/intron. / atrept the specifications of this permit
Owner/legal Representative Signature: Date:
This construction Authorization is subject to invention 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
tonstmcnon Authorization a subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IACHLU lilt MUCH
Authorized State j ent: - Date: AD /9 -//6
Constru Ion Authorization Expiration Date: /0 -ZJ
HTE# !i-.5- Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON�US2� 4e Or,,/e— \ I
ISSUED TO:�//L3�s`�GY %T71/1S�rsi SUBDIVISION LOT # /
Authorized State en: �� Date:
enJ
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