IPAC RRHTE# ~8 c' Harnett County Department of Public Health
ImDrovement Permit 2631 7
A building permit cannot be issued with only an Improvement Permit
1 PROPERTY LOCATION: GU U.f- q-1-f
ISSUED TO/' 7- M SUBDIVISION test 4-c-- LOT # 1
NEW 9? RE AIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~S° 6= L '?&K (-u
Proposed Wastewater System Type: Gc~ty'cftu~
Projected Daily Flow: 3Ca 0 GPD
Number of bedrooms: Number of Occupants: L max
Basement ❑Yes Z NNoo
Pump Required: ❑Yes L4 ~No ❑ Ma a required based on final location and elevations of facilities ^
Type of Water Supply: ❑ Community 2 Public ❑ Well Distance from well feet Permit valid for: [7 Five years
Permit conditions: ❑ No expiration
Authorized State Agent: -`7` ,-C t./ Date: 2-0/ f SEE ATTACHED SITE SKETCH
The issuance of this permit by th ealth 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 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
Required 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:
ON:
PROPERTY LOCA
0w o-r
T
SUBDIVISION cxr
✓1'ttecc_~ LOT #
Facility Type: Sr- 0
12""New ❑ Expansion ❑
Repair
Basement? ❑ Yes ❑ No
es ❑ No
Basement Fixtures?
Type of Wastewater System**
C g,A V2-n c
T
(Initial) Wastewater Flow: GPD
(See note below, if applicable
CG~titJvs~~r c.r`c..JF~ (Repair)
Installation Requirements/Condition
s Number of trenches z'
Septic Tank Size /000
gallons Exact length of each trench 5--Q
feet Trench Spacing: Feet on Center
Pump Tank Size
gallons Trenches shall be installed on contour at a
Soil Cover: 6 .r I inches
Maximum Trench Depth of. 18-30
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. TDH vs. GPM
inches below pipe
i'l K, Conditions: f~ d ..1 ttc,-
Aggrre- ate Depth: inches above pipe
1< ~ t inches total
4,,f-I- I,, a,
sc ;.f 'n
c(,p d
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 specified is different from the type specified on the application. l accept the specircations 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
Authorized State Agent• Date:
G
Construction Authorization Expiration Date: 1142f1401
HTE#
Permit # 2 ~-7 r 7
Harnett County Department of Public Health
Site Sketch
/ PROPERTY LOCATON: C, I C1 Of ISSUED T0: SUBDIVISIONS ✓`r`6 LOT #
Authorized State Agent: Date: 0 ~1 d!/