IPAC RHTE#s-3'li�-r,2 Harnett County Department of Public Health 29633
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
y[/J PROPERTY LOCATION�i[_G-7a5 D
ISSUED 4-12Z7 � " SUBDIVISION LOT #
NEWREPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
I✓ '—>
Proposed Wastewater System Type:
ZX',�76
Projected Daily Flow: CoA
GPD
Number of bedrooms:
Basement []Yes
Number f Occupants: Amax
13 No
Pum Required: ❑Yes ❑ No
P 9
Ma a re uired ed on final location and elevations of facilities
q
Type of Water Supply: ❑Community
(Public Well Distance from well feet
Permit conditions:
Permit valid for.
an five years
❑ No expiration
Authorized Sta /,' s Date: I /— Z7' Q SEE ATTACHED SITE SKETCH
The issuance of this permit they alth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking wit ppr�i s op�erning bodies in meeting their requirements, This
site is subject to revocatiovm 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 pmvisiom of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building PermjtJ
The construction and installation requirements of Rules .1958, .1951, .1954, .1955, AM, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout ,�y� x �'/
ISSUED TO: !/r/' 0�j��7 PROPERTY LOCATION:? I7lJS U/cc--�>
C� E2/
SUBDIVISION LOT #
Facility Type: O� Ld" New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System`* 2�� (Initial) Wastewater Flow: —;5(.Q_ GPD
(See note below, if applicable ❑)
_ (Repair),
Installation Requirements/(onditions Number of trenches
Septic Tank SizeyO gallons Exact length of each trench 'def
Pump Tank Size od gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 119 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil Cover. riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
J' inches below pipe
Depth: 7 inches above pipe
_ ^Al' 7 inches total
WATER LINES (INCLUDING IRRIGATION) MUST Ilf IOFT. FROM ANY PWT OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable, / ondety and the ryrtem type rpeciJed it different from the type rpedfed on the app/icatDon. / accept the rpedbcanonr of thir permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoation 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 Stat enc: Date:
Construction Authorization EXDlratjon Date: /—! --Z3
HTE# 771Z Permit #
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized Stat, A;
t
4
PROPERTY LOCATOtX/7T15--0/5) .cis
T SUBDIVISION LOT #
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