IPAC RNTE# Harnett County Department of Public Health 29555
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I) S c/b / N
ISSUED TO: Wiz Gln 0 SUBDIVISION a LOT # CA
NEW 2 REP 11 EXPANSION ❑ Site Improvements requirecolprjor�o d onstru
Cction Authorization Issuance:
Type of Structure: I ba cat a� . H o A — ( It., x'4(a)
Proposed Wastewater System Type: 26 0�d vtr�oc�:
Projected Daily Flow: 3(s C GPD e
Number of bedrooms: 3 Number of Occupants: L max
Basement []Yes Q�o/
Pump Required: ❑Yes Ls}'A0 ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Communityublic ❑ Well Distance from well feet Permit valid for. [
Permit conditions: ❑ No expiration
Authorized State Agent: 4e q Date: cn scv 1 r 3 / za t -a- SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 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 Permjt)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1959. and .1959 are incorporated by references into this permit aid shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: l c 1,, « VA <Uu: „ PROPERTY LOC�ATIO''N:yS !4DJ
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SUBDIVISION JGvteA L. rNs ,.a� t LOT # <
Facility Type: t ex 14 I� ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" eob AX-A0c-Ili,*'v/ tom. (Initial) Wastewater Flow: c3Gd GPD
(See note below, if applicable ❑)
ZS%v /t -e-4 utrk� tj A S,s "n (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I oCc) gallons Exact length of each trench 5 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: F $ 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: G 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.
-- inches below pipe
'- inches above pipe
I Z inches total
**If applicable, / understand the system type speciled is different from the type specified on the app/iMd011. / accept the rpecifcatianr o/ thu permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject m 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
Authorized State Agent: i ���� Date: OC / z 3 / z-0 L-:1
Construction Authorization Expiration Date: CC / zn3/ uz z_
HTE# 1 3 ' S — 469168 Permit # Z f 545
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: U 5 4p t �-
ISSUED TO: _t y c� c n cls a n SUBDIVISION L• Maj" LOT #
Authorized State Agent: Date:y G / Z,3 /zt, \,--=T
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3-Bedroom Layout
Single Lot- US 401 N
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Repair Field
System: Gravity to D-Box
Lines: 1-3, (225')
0.4 LTAR
18" Trench Bottom
Accepted Status System 28'
Repair: Pump to ultra-shallow
,z. 16'x 76' 30'
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Soil Consulting GRAPHIC SCALE
919-414-6761 1" = 60'
Job #437A 60 0 60 120