IPAC R - PERMIT TO BE VOIDED DO NOT ISSUEHTE #64-s= 30L31a2 Harnett County Department of Public Health 29178
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
/J PROPERTY LOCATIM: -d Sar
ISSUED TO-/I�NfI !QL /J%tlitJnS SUBDIVISION ! C'.2 &e k LOT # �.
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 15 19--r>
Proposed Wastewater System j]y'pe: 25t'%IZ I3q l C, SC_rIti-
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: g max
Basement Oyes No
Pump Required: es ❑ No ❑ May be required )AW9on final location and elevations of facilities
Type of Water Supply: ❑ Community EI Public 9 Well Distance from well Zo I*"a feet Permit valid for. E5 Five years
Permit conditions: ❑ No expiration
Authorized State C Date: L� Z2,477 SEE ATTACHED SITE SKETCH
The issuance of this I rmi the H Department in no way guarantees th issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is Abject m revoca sire plan, plat, ar die 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 .1958, .1952, .19S4, .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 �t/I
ISSUED TO: / zon4d_ Dhs,5° o PROPERTY LOCATION: Iiz3 S�
SUB SU BVISION —ar. e�� LOT #
Facility Type: J`� ISS New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** (Initial) Wastewater Flow: %OQiD GPD
(See note below, if applicable ❑)
226 (Repair)
Installation Requirements/Conditions Number of trenches T
Septic Tank Size Za b gallons Exact length of each trench feet
Pump Tank Size T20� gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. 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 IOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
y" inches below pipe
inches above pipe
_Z7 inches total
***I(��licable, / onderstand the statem type rpeci#ed it different from the type Jpeciled on the applicailion. / accept the rpeacatioar of this permit.
Owner/Legal Representative Signature: Date:
The construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The commission Authorination shah not be transferred when there is a change in ownership of the site. This
Liaturtt utzmn 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
Authorized Stat enc: -1
Construction Authorization Expiration Date:77ZZ-7—
HTE#� ly' -513 1 ° 12 Permit # �,79 / 7 8
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: -�;-�
ISSUED TO: SUBDIVISION o LOT #
Authorized State .: ��'
I/_t�— ��