IPAC RHTE# //0-5 39/z3 /Z Harnett County Department of Public Health 29390
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
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ISSUED TO: Z A�en.0r�// Ni7T �—.s SUBDIVISION ? r,' /��LOT #
NEW REPAIR ❑ ®� XPANSION ❑ Site Impentsrovemrequired prior to Construction Authorization Issuance:
Type of Structure: -1
Proposed Wastewater System Ty e: ala �-�..a-+.e�--
Projected Daily Flow: —5Z b GPD
Number of bedrooms:/0 Number of Occupants: max
Basement ❑Yes J/
Pump Required: []YesElNo CirM}%/be required based on final location and elevations of facilities
Type of Water Supply: El Community l Public ❑ Well Distance from well feet Permit valid for: GYFive years
Permit conditions: ❑ No expiration
Authorized Stat ent: ` Date: fe /3— r'7 SEE ATTACHED SITE SKETCH
The issuance of this permit 4 the JI alth Department in no way guarantees the isvana of other permits. The permit holder is responsible far th:k,.g with ming bodies in meeting their requirements. This
site is subject m revoc l me 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 constructions and installation requirements of Rules .1950, .1957, .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: 41w:di Al"f2da� PROPERTY LOCATION:( Zt// 3 le -6
SUBDIVISIONe�54570 A LOT #
Facility Type: L/ New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Ld No
Type of Wastewater System** Z Selo /(sem sG5b�1r—_ (Initial) Wastewater Flow: 362.C) GPD
(See note below, if applicable ❑)
�V�(Repair)
Installation Requirements/Conditions Number of trench 2.
Septic Tank Size y gallons Exact length of each trench 10n feet Trench Spacing: ` Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: Inches
Maximum Trench Depth of: �N inches (Maximum soil c er shall not exceed
(Trench bottoms shall be level to +/•I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDM 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.
inches below pipe
_ 2 inches above pipe
4— inches total
**If applicable: / understand the s}rtem type speciled is different from the type spedked on the application. / accept the rpecificabonr 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 subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE Al IALHED SITE SKETCH
Authorized State nt: Date: b—/3r— / 7
Construction Authorization Expiration Date: ll� . / 3— z 7
HTE# Permit # -2g-3 9Ci
Harnett County Department of IN-tblic Health
Site Sketch
ISSUED T0: Lit
Authorized State
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C5?` Date: 6-1-3-17