IPAC RRHTE# /S 5�33/�Jarnett County Department of Public Health 29627
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION"SsZ Z--US/J4
ISSUED TO: n SUBDIVISION L—P LOT #
NEW PAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: K; (
Proposed Wastewater System Ty e:
Projected Daily Flow 10
Number of bedrooms: Number of Occupants:./ Lomax
Basement Dyes o
Pump Required: ❑Yes ❑ No EvMayllie 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: j - T -,a ❑ No expiration
Authorized State nt- R — Date: SEE ATTACHED SITE SKETCH
The issuance of this permitolle Health Department in no way guarantees the issuance of other permits. The permit ho der 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 provinom of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Building Permit
The construction and installation requirements of Rules .1958, .1957, .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
ISSUEDTO:M&6ftJh.N9DPROPERTY LOCATION:SeGZ7.1'5—AYl l
e v �% SUBD IONS LOT #
Facility Type:_ 11 New xpansion ❑ Repair
Type of Wastewater System**
(See note below, if applicable
(Initial) Wastewater Flow: 06 GPD
1iWv6l;/i3/a4 ;P/7M
Exact length of each trench 4015' feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: N%/g inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. 2 --inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
— inches below pipe
Aggregate Depth: Z. inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFf. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the ryrtem type specified is different from the type specih'ed on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to reeoation if the site plat. plat or the intended use changes. The Construction Authorization shall not be tansfemed when there is a change in ownership of the site. This
tomtruamn Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disp al and to the conclusions of this permit At RI IXtntl) 3111: Silt Iln
Euth=rlzedstate
anti: Date:
Construction Authorization Expiration Date: Z
NTE# LsJ e3?4V-1 1— Permit # 2 / Y� 2
Harnett County Department of INtblic Health
Site Sketch �9 n
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ROPE LOCATON��_2TZl
ISSUED TO: 491 q��.t)A !.r DI N (Jo LOT # /
Authorized State
Date: /Z— It — 1"7
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