IPACHTE#_/%—S —tI /—J%y Harnett County Department of Public Health 29609
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_bey c/7�
ISSUED TO: a/U�i�fi(42567 ,c i SUBDIVISION ��— LOT # _
NEW ❑ REPAIR ❑ EXPANSION
Type of Structure:
Proposed Wastewater System Type: T_5%
Projected Daily Flow: 2 (/ O GPD
Number of bedrooms: Number of Occupants: Ll_max
Basement []Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Fe3fes ❑ No ❑M e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
L7 Five years
❑ No expiration
Authorized State A cat: LRn9` Date: 7-3/-77 SEE ATTACHED SITE SKETCH
The issuance of this permit thea ealth 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 revocatio F[be 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, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordanu
with the attached system layout
ISSUED TO: PROPERTY LOCATION: � YzI
VISION LOT #
Facility Type: El New Expansion El Repair
Basement? El Yes No Basement Fixtures? El Yes No
Type of Wastewater System** (Initial) Wastewater Flow: 2'/0 GPD
(See note below, if applicable ❑)
Conditions:
Trench
Spacing: Feet on Center
Soil Cover. 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.
F inches below pipe
Z inches above pipe
inches total
**If applicable: / understand the s}rtem type spec/led is different from the qpe speciled on the application. / accept the specifcatioar 01 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 rut be transferred when there is a change in ownenhip 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 StillAgent: ��i9Tth�9r��g Das �j 3/ —/�
Construction Authorization Expiration Date: "]=3(_7 2
2s%Ae1,117
64-1/
(Repair)
Installation Requirements/Conditions
N11mber of trenches 3
Septic
Tank Size L— , gallons
Exact length of each trench $O feet
Pump
Tank Size 000 gallons
Trenches shall be installed on
contour at a
Maximum Trench Depth of:
118 inches
(Trench bottoms shall be level
to +/-1/4"
in all directions)
Pump
Requirements: h. TDH vs.
GPM
Conditions:
Trench
Spacing: Feet on Center
Soil Cover. 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.
F inches below pipe
Z inches above pipe
inches total
**If applicable: / understand the s}rtem type spec/led is different from the qpe speciled on the application. / accept the specifcatioar 01 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 rut be transferred when there is a change in ownenhip 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 StillAgent: ��i9Tth�9r��g Das �j 3/ —/�
Construction Authorization Expiration Date: "]=3(_7 2
HTE# 1-7 -5 �L177 t/ Permit # , 2 7640 S
Harnett County Department of 1'iiblic Health
Site Sketch
��p PROPERTY LO(ATON��N ZIZV
ISSUED TO: �rl/L.t &K 94f+2 w'J SUBDIVISION-, LOT #
Authorized State
Date:
1( 1.'5)
Z �f� (LSI
y - 2K