IPAC RHTE# le Harnett County Department of Public Health 29095
Improvement Permit
A building permit cannot be issued with only V�'ann�, Im,,,,pp,,rovement Permit
PROPERTY LO(ATION:vy(J%/l)
ISSUED TO: 4 ji1Ld 4 472&g4 e9;4xS SUBDIVISION (( LOT #
NEW � / REPAIR ❑ EXPANSION 11Type of Structure: 3 I A to i- Lr')z.�c h tt p �.� 5
Proposed Wastewater System Type: Z� VZa�t�t d i�
Projected Daily Flow: Z cti O GPD
Number of bedrooms:?!;. Number of Occupants: L1 max
Site Improvements required prior to Construction Authorization Issuance:
Basement t_1 res o
Pump Required: []Yes ❑ NoC� Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
U twe years
❑ No expiration
Authorized State ICLn.. 0":f2 L_ / (dgll CY Date: // /5 — /(, SEE ATTACHED SITE SKETCH
The issuance of this permit b Health Department 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 to revocatio he 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 Io conditions of this permit..
Construction Authorization
Reouired for Building Permit
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by mferences into this permit and shall be met. Systems shall be installed in accordance
with the attached system IayssL �7 /J
ISSUED TO: c /JdP*, Z—Ud4�S PROPERTY LOCATION: 11W41 C.,04 /A
�a—����SUBDIVISION LOT #
Facility Type: �f��taw^ 6`1b 'E New ❑ ansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑� es o
Type of Wastewater System" lel � �— (Initial) Wastewater Flow: Z i°C) GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size /A'po O gallons
Pump Tank Size gallons
Pump Requirements: h. TDM vs. _
Conditions:
(Repair)
Number of trenches
Exact length of each trench O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of Z9>49 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacjng: ` feet on Center
Soil Cover. Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6 inches below pipe
Aggregate Depth: inches above pipe
Z 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 system lye specified is different from the type specified on the application. / accept the specdcadons of this permit
Owner/Legal Representative Signature: Date:
This tonstmc ion Authorization is subject to 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 to compliance with the provisions of the Laws and Rules for Sewage i2 meet and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State A Date: .11-0 _—Z (p
Construction Authorization Expiration Date:
HTE# Il -5-jW 3/G
Permit #
Harnett County Department of Public Health
Site Sketch
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n PROPERTY LOCATON: N gwlj
ISSUED TO:I, )AL ,CJ,,)A k5 SUBDIVISION LOT #
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Authorized State Ag Date: s --
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