IPACHTE# aju3 Harnett County Department of Public Health 29718
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED TO:
NEW ❑ REPAIR C
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow:
Number of bedrooms:
Basement ❑Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
PROPERTY L(
SUBDIVISION
EXPANSION ❑
GPD
Number of Occupants: max
LOT #
Site Improvements required prior to Construction Authorization Issuance:
❑ No
❑ No ❑ May be required based on final location and elevations of facilities
❑ Community ❑ Public ❑ Well Distance from well feet
Permit valid for.
❑ Five years
❑ No expiration
Authorized State Agent: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of oder permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it 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 m conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .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: C'"Plo SM SSsj PROPERTY LOCATION: 1 Swoca.fl Leoc
taxaiT a"a a SUBDIVISION YLro c e v a,Ti LOT #
Facility Type: 579 ❑ New )< Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"" aS"/e '0.6owe,s, bew Sys tern (Initial) Wastewater Flow: 410 GPD
(See note below, if applicable ❑)
�— 2 P (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size E-,, %N6 gallons Exact length of each trench Go 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: A inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: (t. TDH vs. GPM
Trench Spacing Feet on Center
Soil (over: inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
Conditions: Noo N its 9r ,p orc �;X 15,v%+ & S sCLS+.it.s )L—) ,o I—
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.
inches below pipe
inches above pipe
inches total
"If applicable, / understand the rystem type pealed it different hum the type rpeciled on the app/ication. / accept the rpecilcationr o/ this permit.
Uwner/Legal Representative Signature: Date
This construction Authom ect to revocation if the site plan, plat or the intended use changes. The Construction Authomation shall not be transferred when there is a change in ownership of the site. This
construction Authori:a' subject to co visions 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: 9 ao l7
Co ion Authorization Expiration Date: 'qaol 17
HTE# �� _ S—� 2�y3 Permit # a -q--7 l'�
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: ,�i SwoaO t oof
ISSUED TO: SUBDIVISION'T.� 6c-, LOT # 2.3
Authorized State Agent: R\,5 �L\YCR ioL CSOoC1F 1 Date: c IaOI\-1
`0a.a,41YG NSs
) S's CN. %P,SFA o N C). 9,