IPAC RHTE#L:!�- 4152 Harnett County Department of Public Health 29083
Improvement Permit
A building permit cannot be issued with only an Improvement Permit ^
PROPERTY L.OCATIO }$2 F cT✓ N_s ay /til.+
ISSUED TO, �- C� SUBDIVISION LOT #
NEW 9 11PAIR ❑ e E%PAIISION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: FXi/Le� /L•aY7P�,/YUIJStB /b/�0N
Proposed Wastewater System Type: It
4-0,4 A
Projected Daily Flow D GPD
Number of bedrooms: r « upants:
Basement []Yes M or
Pump Required: ❑Yes ❑ No EirMay, be required DWd on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public f;' Well Distance from well feet
Permit conditions:
Permit valid for.
54ive years
❑ No expiration
Authorized State Date: /0 - /7 -//o SEE ATTACHED SITE SKETCH
The issuance of this permit 4 Me alth Department in no way guarantees the issuance of other permim The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation t site 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 insulation requirements of Rules .1950, .1957, .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: PROPERTY LOCATION-✓U7fnI/ivN
N /� X`/3 Ne SUBDIVISION LOT #
Facility Type: New xpansion ❑ Repair
Basement? ❑ Yes IV No Basemen Fjxture❑ Yes EiKko
Type of Wastewater System**
S�'�--
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions
Number 4 trenches�—
Septic Tank Size 6� Od
gallons
Exact length of each trench %S feet
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 2-q )/ 8 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements:
N. TON vs.
GPM
Conditions:
(Initial) Wastewater Flow: /4: � GPD
Trench Spacing: —7— Feet on Center
Soil Cover. g�2 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
4
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.
Inches below, pipe
inches above pipe
42=— inches total
**If applicable: / ondetstand the mirem type tpedded is different from the type rpecided on the app/ication. / accept the Jped9cadonr of this permit
Owner/Legal Representative Signature: Date:
This tonstrurtinn Authnrivtinn is s.hi to revenden it the circ elan olator the intended race rbanms. The tnnamrrtinn Authndaation shall not he tmnderred when there is a chane in nwnerchln of rhe it, Thi,
construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit At AIIAL11tU Mit AtIlLM
Authorized State Date: /a - /17 - Jr6
Construction Authorization Expiration Date: /y � / 3 -2/
HTE3-7Nl9/Z
Harnett County
Permit # d a
Department of 1'nblic Health
Site Sketch
�rl� �joi/ PROPERTY LOCAT(
ISSUED TO: / SUBDIVISION
Authorized State
LOT #
Date: I—' Z (i
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