IPAC RHTE# 11 —5= y272CIK Harnett County Department of Public Health 29628
Improvement Permit
A building permit cannot be issued with only an Improve g it ,Permits
PROPERTY LOCATIOOk -ly�/ 046
ISSUED TO: Aki � ,a SUBDIVISION T LOT #
NEW ❑ REAIR f7
Type of Structure: 4J°
Proposed Wastewater System Ty e: e
Projected Daily Flow:
Number of bedrooms:
Basement ❑Yes No
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
_ GPD
Number Occupants: max
M e required based on final location and elevations of facilities
Public ❑ Well Distance from well feet
Permit valid for.
1Z Five years
❑ No expiration
Authorized State Date: 7 I Z — 1� SEE ATTACHED SITE SKETCH
The issuance of this permit th ealth Department in no way guarantees the issuance of ather permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requiremenu. 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 subjectto compliance with the provisions 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 instillation 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 An
ISSUED T0: PERTY LOCATION�yy/ �—P®► 1.44
Sl; ISION T�1 #
Facility Type: ❑ New Expansion 11 Repair
Basement? ❑ Yes No Basement Fixtures? '❑ [.� YYes' ` No
Type of Wastewater System** �% l-�i�Ucy (Initial) Wastewater Flow: :?Kod GPD
(See note below, if applicable ❑)
C— fa / (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 110 gallons Exact length of each trench —210 feet Trench Spacing: � Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. niches
Pump Requirements: (t. TDM vs.
Conditions:
Maximum Trench Depth of: 30--N$ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36 above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
4 inches below pipe
Z inches above pipe
/Z� inches total
""If applicable: / understand the tyrtem type rpecifved is different from the type ipetiled on the app/iradom / accept the cperilrationr o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the sire plan, plat or the intended use changes. The construction Authorization sha8 not be transferred when there is a change in ownership of the site. This
wnstmttmn humormanon 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 Stat roa� I2 —I 2-1 -7
Construction Authorization Expiration Date: (? —t2 T�
HTE#�7�5=93l - ZLlIZ. Permit # e:;-9 ('28
Harnett County Department of ll�iblic Health
ISSUED TO:
Authorized
Site Sketch
nonnwry inremu. —W /�
LOT #
r� /Z —/2—�7
Dgfis4jcr,,)e CEJ a6 70
�L)- ?f /
155
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