IPACHTE # 1—I—� — N 111 -7 Harnett County Department of Public Health 29391
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/j — PROPERTY LOCATION �J Yd . s �+ ,
ISSUED TOO�/i nhv, JX470A SUBDIVISION S LOT # 0AL-
NEW ❑ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: kly S �>7
Proposed Wastewater System T pe: Cd�
Projected Daily Flow: � GPD
Number of bedrooms:Number of Occupants: —4a—max
Basement ❑Yes 0
Pump Required: ❑Yes ❑ No NJ �M,a�' a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 13 Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions:
❑ No expiration
Authorized StatecAgent__ Date: (o — /3 — 1.7 SEE ATTACHED SITE SKETCH
The issuance of this permit b th alth 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 it 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 o1 Rules .1958, .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: A*" .I
Facility Type:
Basement? ❑ Yes ❑
Type of Wastewater System"
(See note below, if applicable
❑ New
PROPERTY LOCATION Akw✓�
SUBDIVISION o LOT # 7!L
❑ Expansion ❑ Repair
No Basement Fixtures? ❑ Yes W No
(Initial) Wastewater Flow: 3�=n GPD
I --w4.21 2�gP V (Repair)
Installation Requirements/Conditions Number of trenches 2—
Septic Tank Size _ _gallons Exact length of each trench 66 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., inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: N. TDH vs. GPM inches below pipe
Aggregate Depth: z inches above pipe
Conditions: E I1' 67.3 a 5 C& msec, ��_ inches total
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.
""If applicable / understand the sptem type specified is d///erent /rom the type specified on the applicatiofl. l accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This constriction 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 ATTACHED SITE SKETCH
L
Authorized State ent: A• 01's Date: 1,-1 3— 1-7
Construction Authorization Expiration Date: CV —1 3 - 2z
HTE# I7-5— (4119 —1 Permit # 151??.3 `'/ /
Harnett County Department of Public Health
Site Sketeb
n PROPERTY LOCAT(
ISSUED T0: %�/�s.>LF oA �. is ✓1 SUBDIVISION
Authorized
Date: 16 - / 3 - r-7
LOT # 214
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