IPAC RHTE#oa�� Harnett County Department of Public Health
\
Improvement Permit 29165
t A building permit cannot be issued with only an Improvement Permit
ISSUED T0: I t D bbd � � U r PROPERTY LO[ATION:� t" (
NEW Cad REPAIR ❑SUBDIVISION
Type of Structure: S,�a�EXPANSION ❑ Site Improvements required prior to Construction Authorizaton Issuance#
Proposed Wastewater System Type: 7 SUS /(2�
Projected Daily GPD
Number Number of bedrooms: Number of Occupants: mag
Basement ❑Yes No
Pump Required: ❑Yes ❑ No EP May be required Jb�ed on final location and elevations of facilities
Type of Water Supply. ❑ Community ❑ Public L11 Well Distance from well u' 0 -Five
Permit conditions: --/ ,,' feet Permit valid for, 0 Five years
❑ No expiation
Authorized Sate Ag ••
The issuance of this permit the He Department in no way guarantees the issuance of other permits. ThePermitholder 1 responsible for checks with appropriate ororoin bodies in ACHE their
site is subject to rerocada a site plan, plat. or the intended use Changes. The Improvement Permit shall not be aReCred by a change in ownership of the site. This permit is bodies
ATTACHED compliance with Tttom of
the laws and Rules for kwage Treatment and Disposal and to Conditions of this permit. xR R x requirements. This
Construction Authorization
The Coe attached
and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .19557..19 8. and-. 169591m incorporated by references into this permit and shall be met. Systems shall be installed in accordance
it
with the auction system layout
ISSUED T0: )F)
PROPERTY LOCATION• �/
Facility Type: S li: `� SUBDIVISION
Basement? F1❑"New ❑ Expansion ❑ Repair LOT #
Yes L
No Basement Fixtures? ❑ Yes
Type of Wastewater System**nC
(See note below, it applicable ❑) __ `' (Initial)
t d
Installation Reauiremen__ ts/conditions " / (Repair)
Septic Tank Size !poJ Number of trenches
T_ gallons Exact length of each trench U
Pump Tank Size ` feet
gallons Trenches shall be installed on contourt�t a
Maximum Trench Depth of - c{ es
(Trench bottoms shall be level to T L, c i
Pump Requirements:in all directions)
it. TON vs. _ GPM
Conditions:
Wastewater Flow: 3�9 GPD
a
Trench Spacing: < Feet on [enter
Soil Cover. —� inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
WATER LINES (INICLUDING IRRIGATION) MUST BE ]OFT. 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
1?` inches total
If a livable: / ondeata#d the grtem type rpec/Ted is different !tom the ON -pealed ofl the app/icadon, / accept the rperifirationr o/ lhir permit
Owner/Legal Representative Signature:
This ConstmCnon Authonaadon is subject to revoutian if the site plan, plat or the intended use Changes. The tonstrucnon Authori adan :lull not be hanslerred when Dateis a change in ownership of the site. Thu
construction Authon:ation u subjea 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
Authorized State A�ent. --� L y✓/ �+'
1Z'r4 Date: —I- to —1 i
C / Construction Authorization Expiration Date:) —?�— Z ?7
NTE# o9'S-z37�z
Permit #
Harnett County Department of Public Health
Site Sketch
ISSUED T0:ls�,- 1-'at�,, PROPERTY LOUTON:-:
SUBDIVISION " U ✓�
Authorized State A ��zyg LOT # !/
�j Date:--
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