IPAC RHTE #11,e'S—v83y.SAC Harnett County Department of Public Health 29193
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ / PROPERTY LOCATIONsf!i�k- /5i/!l ,�y/�Y_.«o
ISSUED TO S�fioi %SCJ SUBDIVISION I I o LOT #
NEW REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: . 5 -
Proposed Wastewater System Type: 2-S-014" rl��
Projected Daily Flow: 3C$4=) GPD
Number of bedrooms: 3 Number of Occupants: (&v, max
Basement ❑Yes Cid No J/
Pump Required: ❑Yes ❑ No (A �M �be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f3 Public ❑ Well Distance from well feet Permit valid for. ly jve years
permit conditions: ❑ No expiration
Authorized State ��i�A�Cl/-5are: -3 - a — 1:� SEE ATTACHED SITE SKETCH
The issuance of this permit 6 e aldt Department in no way guarantees the issuance of ocher permib. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocatio 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 consauttion and installation requirements of Rules .1958, .1952, .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:.�Lc.Z fSAJ rrs PROPERTY LOCATION:0j2C16//`I AVP�¢ raJr ��G
SUBDIVISION / LOT #
Facility Type: Lr1 NewCj/txpansion ElRepair
Basement? ElYes Ed No Basement Fixtur ? El Yes- FiV No
Type of Wastewater System** 1syl cU4199 (Initial) Wastewater flow: GPD
(See note below, if applicable 0)?—P2/S 7�
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size //)!) gallons Exact length of each trench 0 feet Trench Spacing: Feet on Center
Pump Tank Size ` gallons Trenches shall be installed on contour at a Soil Cover. —2 --inches
Maximum Trench Depth of: 21f 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. TDM vs. GPM
Aggregate Depth:
Conditions:
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
/— inches total
**If applicable: / understand the system type tpecded it different from the type tper f'ed on the app/kation. / accept the tpecfi7ationr 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
LonstmCmon Authonaation 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 t: Date: 3— / 7 ! -7
Construction Authorization Expiration Date: 7, /-7, ZZ
HTE# k—s--3F3gs-,�
Permit # 12�7 /2
Harnett County Department of Public Health
Site Sketch
ISSUED T0: ��� �- Y�l��t.
PROPERTY SUBDIVISION �L
Authorized State ge L ` / L�� Date: / Z'
�� od , to