IPACNTE# 1-7—'S-- Harnett County Department of Public Health 29364
Improvement Permit
�A building permit cannot be issued with only an Improvement Permit
K �F I l7 PROPERTY LOCATION: 5Z
ISSUED—T0: T7 U I a) (, 2avo SUBDIVISION 7��µ)J 1/� //Gri„� LOT #
NEW IEiF' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System TyYpe: h l�is p.Irk
Projected Daily Flow: i ? b GPDNu
Number of bedrooms: mber of Occupants: max
Basement ❑Yea�s� 2rho
Pump Required: Nies ❑ No ❑ �Ma� a required based on final location and elevations of facilities
Type of Water Supply: El Community Id Public ❑ Well Distance from well feet Permit valid for. 211ve years
Permit conditions: ❑ No expiration
Authorized State Date: 5--24—/ 7 SEE ATTACHED SITE SKETCH
The issuance of this permit b th ealth 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 pmvisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
squired for Building Permit)
The construction and installation requirements o1 Rules .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inm this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: � PROPERTY LOCATION: CK/moi 7S /l&
SUBDIVISION LOT # qA
Facility Type: 0 New C) Expansion ❑ Repair
ElBasement? Yes No Basement Fixtures? El Yes No
Type of Wastewater System"(Initial) Wastewater Flow: LY 8n GPD
(See note below, if applicable ❑)
L�f'7�oGCy (Reepaiir)
Installation Requirements/conditions Number of trenches 1
Septic Tank Size I gallons Exact length of each trench 3 410 feet Trench Spacing: ( Feet on Center
Pump Tank Size /2n o gallons Trenches shall be installed on contourita Soil Cover: inches
Maximum Trench Depth of: 10 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
"If applicable: / undeatanC the system type speriled iJ diKerent from the type speriled on the app/iratioa / accept the speakcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rerncaton 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
tonstrucbon Aumonzauon 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 Agebi �/ ",a—Y`y Date: S �1
Construction Authorization Expiration Date: 5= 26—Z7,
inches below pipe
inches above pipe
L
n
inches total
"If applicable: / undeatanC the system type speriled iJ diKerent from the type speriled on the app/iratioa / accept the speakcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rerncaton 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
tonstrucbon Aumonzauon 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 Agebi �/ ",a—Y`y Date: S �1
Construction Authorization Expiration Date: 5= 26—Z7,
HTE# 477-5--y0996, Permit # 2 Zu6 i
Harnett County Department of Ytiblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: /2o1�A1 Des 43/ i�
���SUBDIVISION LOT #
Authorized State A /"VTu� Date: S-2� �I
IAw1