IPACHTE# Harnett County Department of Public Health 29160
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATI 194s
ISSUED TO: f.: CVX0JXJ'r Ai-- SUBDIVISION —J=� LOT # 3
NEW REPAIR 0 EXPANS10k 0, Site Imyrovements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System
Projected Daily Flow: Ll
Number of bedrooms -
Basement Dyes ;��
151-- V-�
GPD U
Number of Occupants: R max
Pump Required: [Mes D No El May be required based on final location and elevations of facilities
Type of Water Supply. 0 Community D Public 0 Well Distance from well — feet
Permit conditions:
Permit valid for:
Lf five years
El No expiration
Authorized State nt:- - c�— '�� A -Y<:7- —Date: J - / /- )-7 SEE ATIACHED SITE SKETCH
The issuance of this pe;mit b e HvIlK Eepaw�Z.m =... way guisra��; of other pernstim The permit holder is responsible (or checking with appropriate governing bodies in meeting their requiremenm This
site is stiliject to revocatio ite plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This pentint is subject to compliance with the provinces of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building PernIn
The construction and installation requirements of Rules ASO, .1952, .1954, .195S, .1956, .1957, .1958. and .1959 am incorporated by references into this perentand shall be met. Systems shall be installed in accordance
with the amched system layout.
ISSUED TO: —��A—Vw L124 PRO�RTYLOCATION:,—VI/l/A
S ]VISION aalv� a 1�4 LOT #
Facility Type: s El New Expansion El R4air
0
Basement? El Yes E�/ No Basement fixtures? Zo
Type of Wastewater System** /�;Oj:zs CJ7 (initial) Wastewater Flow: Lf 96 GPD
(See note below, if applicable EI)
:F� �—(Repair)
Installation Requirements/Condit Number of tri -+-a-
m i It
10 fe
Septic Tank Size et
gallons\ Exact length of each trench
Pump Tank Size D5n t4al'onl-" Trenches shall be installed on contour at a
Maximum Trench Depth of. F-\/ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: —ft. 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 10FT. 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
. inches total
**If applicable7 / afliderrAiterof the ronfirt �rpe spedfed is differiffit A= the trpe spedfled ofl the applica#on. / arccept the sperifbilooics off"thir permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to invitation if the sm pin, plat or the intended use changes. The Construction Authorization shall not be transferred when the" 4 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. SEE ATTACHED SITE SKETCH
1 Authorized State AJ�W� Date:
Construction piration Date: /I - Z'Z
HTE# I/o-
Permit # 2R I la (D
Harnett County Department of Public Health
Site Sketch
�!/� PROPERTY LOCATO l / 6 16ZVG—sLIU)
ISSUED TO: �/�S`[�sJ!/LC SUBDIVISION I 2Q A-4 LOT #
Authorized State*eat�� i �� /`/�}7 y Date:
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