IPAC RHTE# It.-s%-ctoc,32 Harnett County Department of Public Health 29179
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:;N�l-7tn So i n 1!-a \ iClrtrvstQfili
ISSUED TO,/D rLA+Iy+r-1— T3I D (7 4- I✓ 11E _ +SNggIVISION "x. w 1 4E LOT #
NEW Eir REPAIR ❑��—i� EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: 2�
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well her Permit valid for. f v1 Five years
Permit conditions: ❑ No expiration
Authorized Stat en •Date: Z—Zf —1'7 SEE ATTACHED SITE SKETCH
The issuance of this permit ealth Depamnent in no way guarantees the issuance al otlher permit. The permit holder is responsible for checking with appropriate goveming bodies in meeting their requirements. This
site is subject m revoution if 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 requirement of Rules .1950, .1957, .1954, .1955, .1956, .1957, .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: DUt AI-lk 1160 1-51e<y PROPERTY LOCATION:251_1705' o s O �rypy,r 6� AZA
n SUBDIVISION,,�'z; _ �rLOT # J—
Facility Type: s t Z New _� Expansion ❑ epair
Basement? El Yes No Basement Fixtures? ❑Yes L�f No
Type of Wastewater System** 250% Ra-e2� �Sis f Qom_ (Initial) Wastewater Flow: 3Co 0 GPD
(See note below, if applicable ❑)
2z!3�Z Pla-4 a wA-g (Repair)
Installation Requirements/Conditions Number of trenches—
Septic Tank Size /6Dto gallons Exact length of each trench so- feet
Pump Tank Size / gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. .2q --,;) I $ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
— inches below pipe
Z inches above pipe
1_2- inches total
**If applicable: t understand the ryrtem type itoesnIfied it different from the type tpeafed on the app/ication. / accept the rpeci&VIOM o/thir pelma
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revonbon if the site plan, plat or the intended use changes. The Construction Authmdaation shall not be transferred when there is a change in ownership of the sift. This
s.onstmcton Aumoneanon 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
Authorized State ent: Date: ?— z t — r 7
Construction Authorization Expiration Date: �_� f — Zz
NTE# V0073Z Permit # G-2 q / 77
Harnett County Department of Miblic Health
Site 'ketch
PROPERTY LOCATON:
ISSUED TO: DUrt K.� fjI M 4- Gle ,6 L SUBDIVISIOCA2." . ARD LOT #
Authorized State
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