IPACHTE#Harnett County Department of Public Health 29088
Improvement Permit
A building permit cannot be issued with only an Improvement it
/ PROPERTY LOCATION �t.e�
ISSUED T0: b /Z 6�[1OG1�± SUBDIVISION LOT # z
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ZTO;6%Le2...&J4'e,._ <9��
Proposed Wastewater System Type A 6—%
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes No
Pump Required: []Yes ❑ No 21MM I required based on final location and elevations of facilities
Type of Water Supply: ElCommunity D Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State ent:Date: / F —.14o, ` / (,oSEE ATTACHED SHE SKETCH
The issuance of this permit h r Health Department in no way guarantees the istuana of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoaoon i the 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 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: G/�/Z C e;w�ie PROPERTY LOCATION: e
�� SUBDIVISION LOT # 'Z—
Facility
Facility Type: L" New ❑ Expansion ❑ Repair
Basement? ❑ Yes 01co Basement Fixtures? ❑ Jes
Type of Wastewater System" (Initial) Wastewater Flow: 3� GPD
(See note below, if applicable ❑)
4,% QJ S (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size'
QJv gallons Exact length of each trench /SCJ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Z inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: fL TOM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
linches below pipe
Z inches above pipe
�Z inches total
""If ao�licable: / understand the system type specified it different Imm the type specified on the app/i 36fl. / accept the specifications o/ this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revoation if the site plan, plat or the intended we changes. The construction Authorization shall not be transferred when there o a change in ownership of the site. This
construction Authorization is subject to compliance with the provisions of the laws and Rules far Sewage Treatment and Disposal and to the conditions of this permit Stt AI IALNtU Slit SXtILH
Authorized State A In - / � Date: &— /%-"' 16
Construction Authorization Expiration Date: /AY 4 — Z Is
HTE# S---3 98 % Permit # 09 U 8g
Harnett County Depailinent of ll�iblic Health
Site ,'ketch
/� PROPERTY LOCATMf �� y Q .0 S A—'6ISSUED TO: Cfb z � 64w Oalj SUBDIVISION LOT # --
Authorized
Authorized State
NOMM
0122
I� L 3 , �o 54
Date: // —/(i —/(e
Shl�iLI G011-6 7AW15