IPACHTE#&LSs yoy�_) Harnett County Department of Public Health 29188
hDrovement Permit
A building permit cannot be issued with only an Improvement Pertntit
PROPERTY LOCATION- -bust-5- lrs-s
ISSUED TO: SUBDIVISION _ ' ,, i� LOT #3ri
NEW W REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow l� N GPD
Number of bedrooms: Number of Occupants: �max
Basement Dyes o
Pump Required: ❑Yes ❑ No ❑MM be required based on final location and elevations of facilities
Type of Water Supply: 11 Community 6d Public ❑ Well Distance from well feet Permit valid for. Ld/Five years
Permit conditions: ❑ No expiration
Authorized StateAgent: Date: ��=(`o �/ % SEE ATTACHED SITE SKETCH
The issuance of this permit by e I Ish Department in no way guarantees the issuance of other permits. The permit holder is responsiblebk lo�with appropnate governing bodies in meeting their requirements. This
site o subject to revocation if tie 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 requirements of Rules .1950, .1953..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:�TIi tJC �t t�yrA rW— PROPERTY LOCATION: R'5 4va-e., rZb
SUBDIVISION J—�L,as/�s Rd-IZ7 — LOT #
Facility Type: ��� C+4New E❑/expansion ❑ Repair
Basement? El Yes No Basement Fixtures? El Yes Ld No
Type of Wastewater System** (Initial) Wastewater Flow: 54o GPD
(See note below, if applicable ❑) /-
2,S—`51,zs, Va. , F_T� (Repair)
Installation Requirements/Conditions Number of trrAhes /
Septic Tank SizeD 6� gallons Exact length of each trench ,30�f feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: i7K €
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
IT
Trench Spacing: feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
r inches below pipe
Aggregate Depth: Z inches above pipe
12- 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: / understand the system type specified is different from the type spealed on the application. / accept the sperifiianuar o/ 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 Authomation shall not be transferred when there is a change in ownership of the site. This
construction 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 ltt AI IALHLU lilt SUM
Authorized to Agent: Date: 3 Zt?—/7
Construction Authorization Expiration Date: 3 — Z�,,' -LZ
HTE#/d—-yDNS%
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Permit # L 9 1 /JQ Q
Harnett Connt.y Department of 1- iiblic Health
Site Sketch
PROPERTY
ISSUED TO: S✓ i JGz/ ✓��%�SF.00.. SUBDIVISION �f�Lp�,����.,tf LOT #
Authorized State g �a4154> Date: 3 — Z F— / —)
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