IPAC RHTE# 40 l3 46arnett County Department of Public Health 29301
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ^YS< 13
ISSUED TO:�rs�� P2Se� SUBDIVISION LOT # 5�
NEW W REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 4 F{ Y2 Mr r1v�e at� I l�intn
Proposed Wastewater System Type: ZS^ (L" c a -
Projected Daily Flow: t -1 -CC, GPD
Number of bedrooms: -- 9 Number of Occupants: 7 max
Basement Dyes 0110
Pump Required: ElF1'es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ElPublic ErWell Distance from well 16)0 feet Permit valid for. years
Permit conditions: ❑ No expiration
Authorized State AgentL_ raa may« r Date: 4--1 rT OS -OS -1 47 SEE ATTACHED SITE SKETCH
The issuance of this permit by th fealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the 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, .1951, .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: fn t .r; Pe re--jr_- PROPERTY LOCATION: /JL 6S %0
—/ SUBDIVISION LOT #
Facility Type: a18R M. C c x El New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ZS°s (Initial) Wastewater Flow: `/YD GPD
(See note below, if applicable ❑)
Z$i nsaurl P mmn c k,n (Repair)
Installation Requirements/Conditions Number oft hes
Septic Tank Size 1 z.ov gallons Exact length of each trench feet
Pump Tank Size Lo u gallons Trenches shall be installed on contour at a
Maximum Trench Depth of-. _ 7-4- inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Conditions:
Trench Spacing: _ 9 Feet on Center
Soil Cover. eo 4 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
G inches below pipe
Aggregate Depth: a inches above pipe
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.
I z inches total
**It applicable: / undeatand the system type streafied is different hin, the type specified an the app/itaGan. / accept the rpecil7cationr 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
Construction Authonzation 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
Atc
Authorized State Agent:o
y.'AIA4�,Sr7 f�+� Date:=zM, -t:, 05-05-1I
ion Authorization Expiration Date: ht o 6 -as -Z -Z
HTE# 16 - 5 - Permit # 'L i'so /
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: NG S -S LJ -
ISSUED T0: -Cape ces SUBDIVISION LOT # _L
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Authorized State Agen'— / L ¢ ,�/( � Date:
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