IPAC RHTE# V 7- S— 10 H9 Z Harnett County Department of Public Health 2916
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: FvL i < ' - �_
ISSUED TOy �iai%�ri al/�/y _6<�S _SUBDIVISION %4-J`> - v LOT #
NEW ERS REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 57�
Proposed Wastewater System Type: ZS'Jc,(>
Projected Daily Flow: 3G 6 GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes Z No
Pump Required: Dyes ❑ No E2r M e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community lblic ❑ Well Distance from well feet Permit valid for. 011ie years
Permit conditions: ❑ No expiration
Authorized State Agenlc___,'Qs-� L /'6,�A.FA ( Date: /- /3-/7 SEE ATTACHED SITE SKETCH
The issuance of this permit by '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
atimn
site is subject to revoiUhe 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 in 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 requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed io acmrdance
with the atached system layout
ISSUED TO: �S�l R *it r,I 4:3W4 :r�' C- PROPERTY LOCATION: 5R 15(a5_!&A-,(/ S /�
SUBDIVISION LOT #
Facility Type: Sir— h 2 New ZExpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 1,YNo
Type of Wastewater System** T1 -A -1>J VZdlJ ;S:V51 -3>_ (Initial) Wastewater Flow: K,�ja GPD
(See note below, if applicable ❑)
Pil (Repair)
Installation Requirements/Conditions Number of trenches 7—
Septic
Septic Tank Size v o D gallons
Pump Tank Size v o o gallons
Exact length of each trench / SU feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Z2- —*> 19 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH 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 (IN(LUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTI[ SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
— inches below pipe
inches above pipe
/_ inches total
**If applicable: / understand the system type specified is different Imm the type specified an the app/icatiom / accept the rpecificationr 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
tonstmcnon Authorization is subject to compliance with the p�rionsions of the
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ILL AI IACHLU SIZE )KETCH
Authorized State enY C— z (, V Date: A — I3 - 17
Construction Authorization Expiration Date: I— if 7- z I
HTE# b-7-5:1&,9 q17
Harnett County
Permit # 9
Department of Public Health
Site Sketch
PROPERTY LO(ATON05r, /S6S7 csn'//�s /7i,wi('S /Z�)
ISSUED TO: i3U,G(/)Gyt`p Z SUBDIVISION llv,/4, l' - LOT #
Authorized State Agen Date: / - / 3 —/
Ih .% j (e0 1 a
P
W
(Q(7