IPAC 2HTE# 1Harnett County Department of Public Health 29684
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 11wY 41)
ISSUED TO: Lam/ a v fl4 SUBDIVISION — LOT #
NEW'K REPAIR ❑ EXPANSION ❑
Type of Structure: ass_ 5- OrLZ I X-10" S;kC`w.s'50.1
Proposed Wastewater System Type: Qu � e_Tea qv fl SLOG ad.
Projected Daily Flow: '�-o D GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required:�es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X, Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: v9� Date: '7251 I ( SEE ATTACHED SITE SKETCH
The issuance of this permit by the Xealth Department in no way guarantees the came of other permits. The permit holder is res for checking with appropriate entraining bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, m the intended use changes. The Imp ement 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 in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, ASS, .1956, .1957, .1956. 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 T0: �P�c•.v�Y �ea LA2
PROPERTY LOCATION: Hwy 1A 11
SUBDIVISION — LOT #
Facility Type: v.yL_ 5ap.L New ❑ Expansion ❑ Repair
Basement? ❑ Yes '!>T, No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 9uewye—�o Pc.N6L 16—ac.K (Initial) Wastewater
(See note below, if applicable ❑) p nt�
?Y474 (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: it. TON vs. GPM g�
Conditions: Sea ATataf U6A 'S�oQD5A1� ��Fl�+lz-f 0cr,4_PCL MA Cm
Flow. ab 0 GPD
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
inches above pipe
E inches total
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.
**If applicable: / understand the synem type spedded it different from the type spec/bed on the app/ication. / accept the spec*adonc of this permit
Owner/Legal Represe 'ye Signature: Date:
This construction Authorization is subjectn tion if the site pian, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the sin. This
Construction Authorization wZkeet to mmp� ith t amns of the Laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 5 Date: 7 J
Co traction Authorization Expiration Date: 7 PIZ 1-.ILI-