IPAC RHTE# LAI 17 Harnett County Department of Public Health 29605
Improvement Permit
A building permit cannot be issued with only an Improvement Pernsi
PROPERTY LOCATIO
ISSUED TO: LYW =ek_— SUBDIVISION LOT #
NEW ❑ REPAIR ❑ ItIPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Imp F'ti
Proposed Wastewater System Type: 'n'c�b YtJL-4
Projected Daily Flow: GPD & 66
Number of bedrooms: :`Ha16;
mbf Occupants: _/U max
Basement []Yes No
Pump Required: ❑Yes ❑ No required b �don final location and elevations of facilities ��
Type of Water Supply: ❑ Community Public f3' Well Distance from well / UO r feet Permit valid for. Ulive years
Permit conditions: ❑ No expiration
Authorized Stat Y Date: 7—/0-17 SEE ATTACHED SITE SKETCH
The issuance of this permit by d 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 if 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 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 /J
ISSUED T0: �u�� PROPERTY LOCATION:
SU ISIONLOT #—/T
Facility Type: f ❑ New Expansion ❑ Repair
Basement? ❑ Yes I No Basement Fixtures? ❑ Yes No
Type of Wastewater System" 25'0;6 (Initial) Wastewater Flow: 61 00 GPD
(See note below, if applicable ❑)
2v a --(Repair)
Installation Rgquirements/Conditions Number of trenches 11
Septic Tank Size gallons Exact length of each trench /2S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of Z '1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
117
Trench Spacing: / Feet on Center
Soil Cover. riches
(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
inches total
"If applicable: / undeatand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat at 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
of the Laws and Rules for Sewage Treatment and
and to the conditions of this 1111011. SEE ATTACHED SITE SKETCH
Authorized Sta en Date: 7 / 52— f 7
Con traction Authorization Expiration Date: 2—/9t—i 7
HTE#�^1 —5 — 4 1-1 `f I IZ Permit # 25662-5
Harnett County Department of 11�iblic Health
Site Sketch
ISSUED TO:
Authorized State
PROPERTY LOCATO •
SUBDIVISION %�Cto,
Date: %—/ /%
" I fco r^4 - �>L