IPAC RRRHTE#ei S = /?Gtr <Harnett County Department of Public Health 29195
Improvement Permit
A building permit cannot be issued with only an Improvement Permit �!1
PROPERTY LOCATIIO}'
ISSUED T0 -_ SUBDIVISION /S'UAW-e LOT # /V
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: —5F`b
Proposed Wastewater System Type:
Projected Daily Flow: 304.0 GPD
Number of bedrooms: Number of Occupants: --4;a—max
Basement []Yes No
Pump Required: es ❑ No ElMaylit required based on final location and elevations of facilities J/
Type of Water Supply: ❑ CommunityPublic ❑ Well Distance from well feet Permit valid for. f F�J ive years
Permit conditions: ❑ No expiration
Authorized State Ag :: Rx0 t Date: :5 SEE ATTACHED SITE SKETCH
The issuance of this
it
th ealth Department in no way guarantees she issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to rerocatio t e 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 m conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, ASS. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in ucardance
with the attached system layout
ISSUED TO: J VG PROPERTY LOCATION• LLl�
SUBDIISION Y LOT #
Facility Type: 5(New ❑ zpansion ❑ Repair
Basement? ❑ Yes Noasentent Fixtures? El Yes o
Type of Wastewater System** � a� /� (Initial) Wastewater Flow: 31C GPD
(See note below, if applicable ❑)
�Lir-fJ
Installation Requirements/Conditions
Septic Tank Size 0010 gallons
Number of trenches
Exact length of each trench y feet
Pump Tank Size / 4060 gallons
Trenches shall be installed on contour aY�y-yo
inches
Maximum Trench Depth of: 1"
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover, riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
-- inches above pipe
� inches total
**If applicable: / understand the fyftem type fpecifed if different from the type specified on the app/iradon. / accept the spedfratiom o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization it 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
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 SEE AIIALHEU SIZE SKEILH
Authorized State t: Date: 3 'f 7
Construction Authorization Expiration Date: ^<7-8^ ZZ
HTE#07-5—/7&�� Permit # -Z2/25—
Harnett County Department of f'izblic Health
Site Sketch
PROPERTY LO(ATONfC/4�v5�y�.�S
ISSUED SUBDIVISION LOT #
Authorized State
F41
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