IPAC RNTE# Harnett County Department of Public Health 29415
Improvement Permit
A building permit cannot be issued with only an Impprovement Permit
PROPERTY LOCATION: 1.65 Ga,FFw V—D
ISSUED TO: PE -,V L '\--:y0 sv SUBDIVISION — LOT #
NEW; REPAIR ❑EY�ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ST - O (, 6 O r 5 ci
Proposed Wastewater System iii Type: ci-S` o IACov� oN
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes -3*fl0
Pump Required: ❑Yes o 'XMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community KPublic ❑ Well Distance from well feet Permit valid for. five years
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: 1) --kr 1-1
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees Me iss o o Cher permits. The permit holder u res nsible 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 I rove not be aneaed by a change in ownership of the site. This permit is subject to compliance with the provision of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
�Ca.S y�'bl K
Construction Authorization
(Required for Building Permit)
with the attached system layout ms
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met System shall be instilled in accordance
ISSUED T0: _R110 PROPERTY LOCATION: 1'- S CKi t F i e VC C
SUBDIVISION LOT #
Facility Type: S� (6a xS O�% X New ❑ Expansion ❑ Repair
Basement? ❑ Yes -T�K No Basement Fixtures? ❑ Yes bkNo
Type of Wastewater System** 9 S a� e eco v c/K Q11 Sy S7 EM (Initial) Wastewater Flow: ti Q0 GPD
(See note below, if applicable ❑) _ ��cp s� C
(Repair)
Installation Requirements/Conditions Number of trenches 7
Septic Tank Size 1,00 0 gallons Exact length of each trench 3S0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. to—'fig inches
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of-. It -3p inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
If applicable: / undeatand the ryrtem type rpet-ifyed is different Gum the type rperiGed on the app/iratioa / accept the so, d cation of thir permit.
Uwner/Legal Representative Signature: Date:
This commucti ' mon is sublet to saveon if the site pian, plat or the intended use changes. The Construction Authorization shall not be tnnsfered when theft is a change in ownership of the site. This
Construction Authorization with'Tfitgicantisions of the Laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authoriz t ent: 9G iS Date: 17
S 0.1 dA %Lruction Authorization Expiration Date: a aZ
HTE# t -1- 5- "'--7 j Q
Harnett County
Permit #
Department of Public Health
Site Sketch
PROPERTY LOCATON: 114%-
ISSUED TO: P(2k v t– L"y 0 LN I
/ SUBDIVISION — LOT # a
Authorized State Agent: a, 6),6�` OL,VSDOQj Aq Date: C., 14'
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