IPACHTE# I Harnett County Department of Public Health 29956
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: A4, X. R
ISSUED TO: libA.'1111U�—F
SUBDIVISION " Z LOT#
NEW ❑ REPAIR ❑
EmNSION ...a Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
—
Proposed Wastewater System Type: 2S
O7a
Projected Daily Flow:
GPD
Number of bedrooms:LJ
Number of Occupants: /O max
Basement Dyes G2 TNo
Pump Required: ❑Yes El No
J/
frJ' Ma be required baKel on final location and elevations of facilities
Type of Water Supply:
Permit conditions:
❑ Community 16 a Well Distance from well?%" feet
Permit valid for:
� rive years
❑ No expiration
Authorized State 1I r ' r Date: cT-1 Fes— I� SEE ATTACHED SHE SKETCH
The issuance of this permit Is t C( alth Department in no way gua tees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revontion t 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 phis permit..
Construction Authorization
Beautified for Building Permit
The construction and installation requirements of Ruhs .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 art incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: PROP RT'
LOCATION: ( Z
S DIVISION LOT #
Facility Type: P� New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fi s? Yes / No /�A
Type of Wastewater System** Uc�i .�'S' 6.— (Initial) Wastewater Flow: 6Z GPD
(See note below, if applicable ❑) /
2b� /�/"�7`z(Rapair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /�/!y gallons Exact length of each trent 166 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 27i inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft TDH vs. GPM
Conditions:
Trench Spacing: 0/ Feet on Center
Soil Cover. i(e inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
No UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
2 inches above pipe
✓ Z inches total
**If applicable: / understand the system type specified is different from the We specified on the app/ication. / accept the Jpecih'cationc 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
Authorized State
with the provision of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date: f
Construction Authorization Expiration Date:
HTE# l g— S= gY001
Harnett County
ISSUED TO:
Authorized State
Permit # Zg /
Department of Public Health
Site Sketch
PROPERTY
0
Date: 15--- f S-1 s
LOT #