IPAC RRHTE# 1 V' S'—Vo/Sf P 2 Harnett County Department of Public Health 29251
17-s_v)y4,3 Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED TO: � 1er— card an a la Vkro:I{an PROPERTY LOCATION:_ CL', ae CLor c� C 5 (L
NEW V REPAIR ❑ eEXPANSION ❑ SUBDIVISION LOT # 3 2 4
Type of Structure: 3 $ R kAoOst CCi ok yt t;&
Proposed Wastewater System Type: Zs°/o if e N c t; a r, 5 y ft"
Projected Daily flow: 360 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 54o
Pump Required: JVYees ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community VPublic ❑ Well Distance from well feet
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for.
lii'live years
❑ No expiration
Ora o5 2ot+
Authorized State Ag :Date: 1 * '- SEE ATTACHED SITE SKETCH
The issuance of this permit by Th th Department in no way guarantees the issuance of othm permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if IV 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, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be meL Systems shall be installed in accordance
with the attached system layout
ISSUED TO: `f Nnc1 0%A5, is, �aa4n,l�on PROPERTY LOCATION:
SUBDIVISION LOT # 3r21
Facility Type: 3 C32 Car„�� VNew El Expansion ❑ Repair
Basement? ❑ Yes li"No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 25 %oy2e'�'C'-1, S' 6145�;r (Initial) Wastewater Flow: B66 GPD
(See note below, if applicable ❑)
2 5 "/- R e aockla. : sfr,( epair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1066 gallons Exact length of each trench \ k5 feet
Pump Tank Size t v c>G gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 11-0- inches
(Trench bottoms shall be level to +1.114"
in all directions)
Pump Requirements: ft. TDH vs. _ GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. st G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
6 X inches below pipe
jW— inches above pipe
17-0- inches total
**If applicable: / ##derrta#d the r}rtem type specified it different from the type speciled an the app/ica6017. / accept the rpecificatioar of thir peimlt
Owner/Legal Representative Signature:
Date:
Thu construction Authorisation is subject in revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there h a chane In f A.
Consurnitzion 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 ATTACHED SITE SKETCH
t8
Authorized State Agent. .8xait. A,T5
Date: n G/OS�ZoI�
nstruction Authorization Expiration Date: - O6/6/WtZ
1-4 -5 -41q-+3
HTE# — — q6 / jr (Z Permit # 2 ZS
Harnett County Department of Public Health
Site Sketch
ISSUED TO: i PROPERTY N gC,M;►t0A SUBDIVISION � 'yeI 20 a.c, (,5(L
OT #i �3 ✓L )
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Authorized State Age � � Date: iG
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