IPACHTE# Harnett County Department of Public Health 29750
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
v PROPERTY LOCATION: 6SP+
ISSUED TO: C) o o.t-D \ r P N C t4N SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: P. to,
�ION �2v
Proposed Wastewater System Type: 2w le 1ZGoycrsrn>, rscEs
Projected Daily Flow: 'A VZ) GPD
Number of bedrooms: 164 Number of Occupants: max
Basement []Yes "PHo
Pump Required: ❑Yes,flo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: "'C*iiiiiiii. \
The issuance of this permit by the Health Department in no way guarantees the ins
site is subject to revocation if the site plan, plat or the intended use changes. The
the laws and Rules for Sewage Treatment and Disposal and to conditions of this pe
Date:
SEE ATTACHED SITE SKETCH
other permits. The permit holder if responAble for checking with appropriate governing bodies in meeting their requirement. This
nZnt Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
Reouired for Buildine Permit
The construction and installation requirement 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: Dort Y -LA "Phrvre U 47 PROPERTY LOCATION: �o¢2w6SOa
SUBDIVISION LOT #
UUFacility Type: ADo�i�Os` "d)110 El New Expansion ❑ Repair
Basement? ❑ Yes No Basemen Fixtures? El Yes El Il
Type of Wastewater System"" 2s'% RE pU Cr a u o (Initial) Wastewater Flow: L4 (7 GPD
(See note below, if applicable ❑) 7 q
u f- 1 0 ! �o )NCD (Repair)
Installation Requirements/Conditions Number of trenches QL
Septic Tank Size r3 STN Cgallons Exact length of each trench 40 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover, g inches
Maximum Trench Depth of: )`?S inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36 above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: SSC: S c E SY(—R c" N; Q, 6_ ( 'V Tr "C P15 inches total
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.
""If applicable: /understand the system type rpeciled /r different from the type specified on the app/icatioa / accept the soo6fcadom of this permit,
Owner/Legal Representative Signature: Date:
This Construction Authorizatibmis- w reroadon it cke 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 comp,' 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: IsI
Construction Authorization Expiration Date:
HTE 17-S-4aL405 S ),T 6, S K C-TC. Pcar,%YT
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