IPAC RHTE# 0 -i;- -zSZ6/®2 Harnett County Department of Public Health
Improvement Permit 2 6 4 0 8
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION: fj i
ISSUED SUBDIVISION i LOT # -3
NEW REPAIR ❑ EXPANSION ❑ Site Impr ements required prior to Construction Authorization Issuance:
Type of Structure: -5,--- i>
Proposed Wastewater System Type:
Projected Daily Flow: 194) GPD
Number of bedrooms: Number of Occupants: 'S max
Basement [--]Yes 13 No
Pump Required: ❑Yes ❑ No E2/Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L~1' Public ❑ Well Distance from well feet Permit valid for: 521' ive years
Permit conditions: Pb-,6_,0 jP4 GL z4:,6 / 3L ❑ No expiration
Authorized State Ag"- '-Date: SEE ATTACHED SITE SKETCH
The issuance of this permiRthe 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 revocatiosite 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
Reouired 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 T0: PROPERTY LOCATION: % t LA:)
SUBDIVISION -j"' LOT #
Facility Type: Y 'New E ° Expansion El Re air
Basement? El Yes No Basement Fixtures? El Yes EZ No
Type of Wastewater System** c'/o L~ ~Jt .J (Initial) Wastewater Flow: y GPD
(See note below, if applicable
Installation Requirements/Conditions Number of trenches Z_
Septic Tank Size i 2,0-6 gallons Exact length of each trench f E feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 7`2/8 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: l u
Trench Spacing: ( Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
4 inches below pipe
Aggregate Depth: inches above pipe
/Z inches total
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.
**If applicable: /understand the system type specified is different from the type specified on the app/ication. /accept the speciTcations 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 SEE ATTACHED SITE SKETCH
5
Authorized State 46t: Date: i
Construction Authorization Expiration Date: I - 2~- t
ISSUED TO: SkLwl~ SUBDIVISION
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Authorized State hem . t
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LOT # ,
Date: ! Z~
19b° 100`1