IPAC RHTE# {Co— rJ j�sl�lR, Harnett County Department of Public Health 29409
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
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PROPERTY LOCATION:
ISSI%D T0: ^� 1 O t PfS �y I LO)N C SUBDIVISION �� k-k*tS N s �� v t E LOT #
NEW REPAIR EXP3 N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 15,Z --Oz t'^'c b(i J
Proposed Wastewater System T e: u n,4T a �S o Com �, n a $y9Tprn
Projected Daily Flow: z -i% -O GPD
Number of bedrooms: L" Number of Occupants: _max
Basement []Yes -XNo
Pump Require :es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -K Public ❑ Well Distance from well 0 d feet Permit valid for:-yyglve years
Permit conditions: LJ No expiration
Authorized State Agent:: Date: � a3�l I) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of of emits. The permit holder iris resp— onsAlle for checking with appropriate governing bodies in meeting their requirements. This
site is object to revocation if the site plan, pla4 or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This petrit 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 respuremenn of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this peons and shall be met. Systems shall he installed in accordance
with the attached system layout.
ISSUED T0: �o^/Tat_ OAY� �yszm V C PROPERTY LOCATION: CP&t)a,,P, uc
SUBDIVISION 'tX-V `<-' N S 1LtP,6C LOT #
Facility Type: SCS LHW TL C New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes o
Type of Wastewater System** pUrn��o 2;fS7- 60vCpv,0,,1 �J3--Gr. (Initial) Wastewater Flow: ��� GPD
(See note below, if applicable ❑)l a �5
pyr"e�' 15 (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size L O 0 O gallons Exact length of each trench -7 feet Trench Spacing: Feet on Center
Pump Tank Size V gallons Trenches shall be installed on contour at a Soil Cover. 1 inches
Maximum Trench Depth of: 20' inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: �Kfbtn» $t'GEC> 0 W PC) -of oSza,L on Ljc.;' t SS. inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / undetrtand the ryrtem type speciled it diNerent from the type rpealed on the application. / accept the rpecilcationr of this permit.
Date:
Construction
intended use changes. The Construction Authorization shall not be transfers
and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: ly':, 5 Date:
SEE ATTACHED SITE SKETCH