IPAC RNTE# LL q 2 58"I(L Harnett County Department of Public Health 29752
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
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A PROPERTY LOCATION: Oc,t( V4 -.Ilett iZc,(r, tZA- �3it t4so�
ISSUED TO' Zbn!:I 6r Fln firvia T"n GA, SUBDIVISION LOT #
NEW PAIR ❑ EXPANSION ❑
Type of Structure: 362 !eo` )c 4o' S*
Proposed Wastewater System Type: !W5 % 5 >
Projected Daily Flow: 366 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes f i -N
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes ❑ No Ig1ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well 16rt, feet L M 10)
Permit conditions:
Permit valid for.
❑ No expiration
Authorized State Agent: t`�G- Date: E ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guamntees 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 conditions of this permit.
Construction Authorization
squired for Building Permit)
The construction and installation requirements of Rules .1958, .19S2, .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: 7c, Antt c ' n \\ PROPERTY LOCATION: CGc,y- Vim `1k, IF--. rZa - (52lSsa�
SUBDIVISION LOT #
Facility Type: 3A /L (,o -46' 5 2 -few ❑ Expansion ❑ Repair
Basement? ❑ Yes EJ-95� Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 6 67 � (Initial) Wastewater Flow: 3 r.6 GPD
(See note below, if applicable ❑)
_206 5,sEc (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size \ o TO gallons Exact length of each trench 9 6 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth oL of q— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: c� Feet on Center
Soil Cover: / of inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
1-44, inches below pipe
Aggregate Depth: 4A inches above pipe
1L t.,A 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 speciled it different from the type speciled on the app/kation. / accept the specilcatians 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 Authodaxtion shall not be transferred when there is a change in ownership of the sin. This
Comhuction Authorimtion 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: JET/7 Date: Jul vs=1ItiAllaotiq
FS.r-2�k cYLN;_::; e,.<Z-(-L� Construction Authorization Expiration DateifilyI3-(—f ,-A' l\ k I qc is
HTE# t ' S"ya S9cf e- Permit # a <� 4-6-0�
Harnett County Department of Public Health
Site Sketch
PROPERTY LO[ATON: ogK V -.11t, r- .Cal IZ�. (52 l yw)
ISSUED T0: SUBDIVISION LOT # _—
Authorized State Agent: Date:
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