IPAC RRHarnett County Department of Public Health 29615
Improvement Permit
A building permit cannot be issued with onlyanImprovement Permit
a n s ��r� PROPERTY LOCATIOdtL�/C� o
ISSUED TO: 1` Cc SUBDIVISION LOT #
NEW REPAIR ❑ \\ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 'yG v
Proposed Wastewater System Type:
Projected Daily flow: — a GPD
Number of bedroomj•, 'Z- Number of Occupants: max
Basement eyes No
Pump Required: es ❑ No ❑ M lee required sed on final location and elevati� ( facilities
Type of Water Supply: ❑Community f� Public Well Distance from well S4, feet
Permit conditions:
Permit valid for.
Five years
❑ No expiration
Authorized State ens.: _ Date: �� /'7 SEE ATTACHED SITE SKETCH
The issuance of this pe t by lh ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with with aprning bodies in meeting their requirements. This
site is subject ro rev t e site plan, pla4 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 �,, ��
ISSUED TO: N=/5 > - PROPERTY LOCATIO6-,,W �-
SUBDIVISION LOT #
Facility Type: . jr—�, ❑ Expansion ❑ Repair
Basement? Z Yes ❑ No Basement Fixtures? Lf Yes ❑ No _
Type of Wastewater System** i5 '/ G
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size - A960 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches
Exact length of each trench feet
Trenches shall be installed on contqur ata",
Maximum Trench Depth of: J 9'12. inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Initial) Wastewater Flow: GPD
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
62 inches below pipe
Aggregate Depth: _� inches above pipe
W1 inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the ryrtem type specified is different from the type specibed on the app/icadon. / accept the rpeciftcadanr of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to 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 Stt AI IALHEU Slit SKEICH
Authorized S e A¢ / t� Date: g `A� /
Construction Authorization Expiration Date: 1 e -2-,Z-
HTE#/ -�f --7637&/ (113e
Permit # 21& /,s
Harnett County Department of Public Health
Site Sketch
PROPERTY MATO
N5t
ISSUED TO: lZeye $ C_ 1 SUBDIVISION LOT #
Authorized
Date: rj /
X4*e,.)5 M N r6r"o�Iw