IPACHTE# I d-5 333 Harnett County Department of Public Health 29915
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/� PROPERTY LOCATION: ty C- a� i rti
ISSUED T0: a�rnrla0 5 U C K(rM� SUBDIVISION LOT #
NEW REPAIR LJ EXPANSION ❑
Type of Structure:43s X srL
Proposed Wastewater System Type: a5% (tyre , Fo��.
Projected Daily Flow: 3Ca0 GPD
Number of bedrooms: ..3 G Number of Occupants: mace
Site Improvements required prior to Construction Authorization Issuance:
asement 1-1 les o /�
Pump Required: Dyes El No Rlay be required has final location and elevations of facilities
Type of Water Supply:I-]Community El Public Well Distance from well I UC) feet COA
Permit conditions: LC4—, iS" \1 lno _ r l oc ctod r) -l" - 4-,. /"— — I L r_ ..
Permit valid for: 21iive years
r 6ic5� No expiral
Authorized State Agent:—
Date: o `�1�t£5 SEE ATTACHED SITE SKETCH
in
The issuance of this permit by the Health Departmentno 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 revoation 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, .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.
ISSUED TO: Tererv+) 61- 5-tf- PROPERTY LOCATION: NL Qq T�-.,.
SUBDIVISION LOT #
Facility Type: '7d 3 364 )-New ❑ Expansion ❑ Repair
Basement? ❑ Yes DIro Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** r -6
rT 572
•,6 a (Initial) Wastewater Flow: X6 GPD
(See note below, if applicable ❑)
R-" t -.d (Repair)
Installation Requirements/Conditions Number of trent ses 6—
Septic Tank Size I bC>O gallons Exact length of each trench O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of 0 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: c Feet on Center
Soil Cover: (o inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
/JYC inches below pipe
Depth: "A inches above pipe
nA Pr inches total
WATER LINES (INCLUDING IRRIGATIONS 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 sutem type speciled is different from the type specified on the app/icatioa / accept the spedifUtionJ of this permit.
Owner/legal Representative Signature: Date:
This Construction A sthoriaation is subject to revocation if the site plan, plat or the intended use changes. The Construnion Authorization shall not be transferred when thea is a change in ownership of the site. This
tonstmction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and in the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: i��� Date: 0 S I'7-7 l acva
At,';, Construction Authorization Expiration Date: o31a21406?3
HTE# 1(3- 5— y 3 33 4 Permit # �? i q 15
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: 5ecem, M, dtc,(VJwuA- SUBDIVISION LOT #
Authorized State Agent:_ _ _ — G�fl _ 7 s iL�yJ� Date: r),; o? of aU
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