IPAC RRHTE# yDys� Harnett County Department of Public Health
29187
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONA0 f 7, 6— 5—Z
ISSUED TO' rTwatl Xcli SUBDIVISION _Tdtrnllu o Sjd vs (' l� LOT # /C'
NEW Gi REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes No
Pump Required: es ❑ No ❑Ma a required based on final location and elevations of facilities
Type of Water Supply: 11 Community Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized Stat en : Date: 0— / — / / SEE ATTACHED SITE SKETCH
The issuance of itis perms y t Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revoati 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 taws 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, .1951, .1950. and .1959 are incorporated by references into this permit and shall be ML Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: -3ur-ii C7'LS rid G PROPERTY LOEATION:,1xJ57eJ'�-,'�j- IH s :a4A,,e S 46
SUBDIVISION /%ung -ate pis LOT #
Facility Type: New Expansion ElRepair
Basement? ❑ Yes EY No Basement Fixtures? ❑ Yes EeNo
Type of Wastewater System*" �i d-zis 7 CZtN4 (Initial) Wastewater Flow: 3 Cep GPD
(See note below, if applicable ❑)
-" �Repair)
Installation Requirements/Conditions 9 Number of trenches I
Septic Tank Size'
gallons
Pump Tank Size � gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench 3o6 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of, IS inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing:--,7—Feet on Center
Soil Cover.inches
(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.
Cinches below pipe
inches above pipe
inches total
'wlf applicable: / understand the system type spec/fled it different Imm the type specified on the app/ic2dafl. / accept the speci122tiam 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 Authorization is
with the provisions of the laws and Rules for Sewage Immanent and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State AgAt—. r Arlts�-1l� Date: 6 7 i,"7
Construction Authorization Expiration Date: 4 - 7 - 1-2—
HTE# C%0 C-Sz/e Permit # / 87
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LOCATON.-a a5'6S� � �¢� t�o� /l/6
ISSUED TO: 5i -rykG SUBDIVISION ✓�P.cs_J-1H-n LOT # M
Authorized Stat ¢ent— aim (L- / 'iAWA40007� Date: 6- %-
, 0D t
1,�v � ?a 4 ct