IPACHTE# /6 -r- s9z/ s Harnett County Department of Public Health 29154
Improvement Permit
A building permit cannot be issued with only an Imyyrovement Permit
��,�,
,,QQ
(5
PROPERTY LOCATIONj<7; 3 CAIiC¢s�a ��11J
I
`%d /Pa{
ISSUED TO: ,064).) /dm/ ZZ
SUBDIVISION
LOT #
NEW ❑ REPA$❑ EXPANSION
/7
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '/-
Size //)An gallons
Exact length of each trench
Proposed Wastewater System Type: 1
feet Trench Spacing: ( Feet on Center
Pump Tank
Projected Daily Flow: 3&-0 GPD
Trenches shall be installed on
contour at a
Number of bedrooms: Number of Occupants:
max
�/i)O
Basement []Yes
2z—>d2>
inches (Maximum soil cover shall not exceed
Pump Required: ❑Yes ❑ No VJ May be required b d
Type of Water Supply: El 0 Public Well
on final location and elevations of facilities
Distance from well %S z F feet Permit valid for.
Five years
Permit conditions:
36" above the trench bottom)
❑ No expiration
Authorized State — Date: ! Z— / — f (0 SEE ATTACHED SITE SKETCH
The issuance of this permit b e ealth 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 revocation a site plan, pi 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, .19S2, .19S4, .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: PROPERTY LOCATION:,-MMS�Q3LdCas�aa�r.l .4d
pansio Q LOT #
Facility Type: 1-1Newxpansion ❑ Repair
Basement? 11 Yes No Baae�tent Fixtures? 11 Yes Ng
Type of Wastewater System"% �� ����jSs SD'�i� (Initial) Wastewater Flow: 3�d GPD
(See note below, if applicable ❑)
in all directions)
Pump Requirements: fL TDH vs. GPM e� inches below pipe
t� Aggregate Depth: Z inches above pipe
Conditions: F0 [(Do /}ardw. — v (:�k fes, inches total
In p
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable: / undeatand the rystem type specified is different from the type specified on the app/icatioa. / accept the spetifinximr of this permit
Owner/Legal Representative Signature: Date:
This Construction 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 Treatment and Disposal and to the conditions of this permit Stt AIIACHtU SIIL SKLILH
Authorized State Date: ) 7-1 g Co
Construction Authorization Expiration Date: 1 2 --& r
��,�,
�
(Repair)
Installation
Requirements/Conditions
Number of trenches
q
Septic Tank
Size //)An gallons
Exact length of each trench
Zf O
feet Trench Spacing: ( Feet on Center
Pump Tank
Size d gallons
Trenches shall be installed on
contour at a
Soil Cover: Vinches
�/i)O
Maximum Trench Depth of:
2z—>d2>
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: fL TDH vs. GPM e� inches below pipe
t� Aggregate Depth: Z inches above pipe
Conditions: F0 [(Do /}ardw. — v (:�k fes, inches total
In p
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable: / undeatand the rystem type specified is different from the type specified on the app/icatioa. / accept the spetifinximr of this permit
Owner/Legal Representative Signature: Date:
This Construction 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 Treatment and Disposal and to the conditions of this permit Stt AIIACHtU SIIL SKLILH
Authorized State Date: ) 7-1 g Co
Construction Authorization Expiration Date: 1 2 --& r
HTE# 16' S -Z- 390/5 Permit # Z%/Sy
Harnett County Department of Public Health
Site Sketch
/ PROPERTY LOCATON: OS /% —
/��
ISSUED TO: /�,.� Aka SUBDIVISION LOT #
Authorized State Ag Date:
/low G, (e�7 14-k /LII /fie,,ie,��.
1 38/Zh--
I ptoc� I