IPAC RRHTE# f7—S— `i/l i3 /�
Harnett County Department of Public Health
29619
Improvement Permit
C(/,lol&�(
/ building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO ". 2Z/ -5- 44WEI "
ISSUED TO:
NEW LV' REPAIR ❑
SUBDIVISION LOT #
EXPANSION ❑ Site Improvements required prior to Construction Authorization
Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily flow: 3CvA
GPD
Number of bedrooms: 3
is
Number a Occupants: L max
Basement []YesF-1No
Pump Required: ❑Yes I -]No
Ma required based on final location and elevations of facilities
Type of Water Supply: El Community
(Public ❑ Well Distance from well feet Permit valid for.
2 Five years
Permit conditions:
❑ No expiration
Authorized Stat % Date: d 0 —/ 6 --f7 SEE ATTACHED SITE SKETCH
The issuance of this permi a 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 the provisions of
the laws and Rules for Sewage Treatment and Disposal and to condition of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: LU �+l'(� �`t`�1� S.<%� PROPERTY LOCATION:,�22.2-t
Facility Type: _
Basement? ❑
le—x S�
SUBDIVISION ,t1.a... r X11;' LOT # S
E New ❑ Expansion ❑ Repair
Yes EJ No Basement Fixtures? CJ Yes ❑ No
Type of Wastewater System** t7D/o Ae- (Initial) Wastewater Flow: 3(e o GPD
(See note below, if applicable ❑)
ZS"%a t ea�cr �c�iS— (Repair)
Installation Requirements/Conditions Number of tre hes I
Septic Tank Size a/DOO gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: inches
Pump Requirements: ft. TDH vs.
Conditions:
WI
Maximum Trench Depth of: � cin es
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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: / underuand the ryrtem type specified /r different from the type rpedled on the app/ication. / accept the specifications o/ 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 SEE ATTACHED SITE SKETCH
Authorized State 4095A - Date: Jb- / (o —! 7
Construction Authorization Expiration Date: /0- / 6, - 2Z
HTE# -/-7--5--
Permit # -�596 / /
Harnett County Department of 1"nblic Health
Site .ketch
PROPERTY LOCATOIL�I ZZ/S civ Com— /�
ISSUED TO: (� Uh✓ �/ L SUBDIVISION LOT # s
Authorized State /' (/97�� Date:
Ell
dp
�PcR n Sof* W AIR