IPACHTE# ► - s —`f 693 Y2 Harnett County Department of Public Health 29596
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: IN2 • 5rL ISfJO)
ISSUED TO: t -3h s5� �I e.» dJ Ids SUBDIVISION ��Y C4Csss 5rsn LOT #
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C OX rFo' (2oj-ca a w/ Q 4Lp1C
Proposed Wastewater System Type: K,> I� fife
Projected Daily Flow: c.r A GPD
Number of bedrooms: — T J Number of Occupants: N •n max
Basement ❑Yes L7 No �-
Pump Required: []Yes ❑ No May Is -required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LsYPublic ❑ Well Distance from well / op feet
Permit conditions:
Permit valid for. D-ri�veyears
❑ No expiration
Authorized State Agent::�� Date: vg // zo fii- SEE ATTACHED SITE SKETCH
The issuance of this permit by she Health 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 she 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, .1952, .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: SVcieo fb ds PROPERTY LOCATION: t'-! 4
e5et sin G -A � 5 tt tsoo)
SUBDIVISION LOT #
Facility Type: foosXsFol 6 w Caw-6rceat ❑ New C�Cpansion El Repair
Basement? ElYes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 5-co6 L :5;.;;,s (Initial) Wastewater Flow: Nq GPD
(See note below, if applicable ❑)
t-- .3E S-�4•c 5 s (Repair)
Installation Requirements/Conditions Number of trenches a A
Septic Tank Size t oLG- gallons Exact length of each trench ^ 4 feet
Pump Tank Size 1.000 gallons Trenches shall be installed on contour at a
TAtJK6 p-C3oX ONLY Maximum Trench Depth of: cy A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: /-- A Feet on Center
Soil Cover. .vA inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
'"'4 inches below pipe
Aggregate Depth: N.t inches above pipe
IV4 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable / understand the rptem type rpeciled it different hom the type rpedled on the app/iradon. / accept the rpec&Cationr o/ this permit.
Owner/Legal Representative Signature: Date:
This (onswction —.'h .ization is subject to revocation if the site plan, plat or the intended use changes. The construction Authorization shall not be tnnsferted when there is a change in ownership of the site. This
Lonstmcuon 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: Date: 0£3/till zwl-4
Construction Authorization Expiration Date: vim//f/ zc,f-:7
HTE# � � " 5 q 0` zq 2 Permit # 'aq S 76
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: 1 4 a2A nb rN X62 1564 )
ISSUED TO: 1A%00 n syrl all SUBDIVISION LOT #
Authorized State Agent: / w Date: C3 8 11 I z 0 1--4-
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