IPACHTE# Harnett County Department of Public Health 29959
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
�/ [ n PROPERTY LOCATIO �/ C�rL(S
ISSUED TO: GYD C49- SUBDIVISION LOT # /4
NEW ❑ REPAIR 11 EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Lek bF17
Proposed Wastewater System Type: C1Jxye-.�n +P
Projected Daily Flow: 36.0 GPD
Number of bedrooms: Numberof Occupants: L max
Basement []Yes Eir No J
Pump Required: []Yes11IJ No May be required based on final location and elevations of facilities ��
Type of Water Supply: ❑ Community 19 Public ❑ Well Distance from well feet Permit valid for. L7 Five years
Permit conditions: ❑ No expiration
Authorized State -nt: e/ � , . — --pli Date: — — SEE ATTACHED SITE SKETCH
The issuance of this permit ly chest IM 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 revocatio a site pian, 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: PROPERTY LOCATION: <W
SUBDIVISION AZ!?eZN&1—ai /wil LOT # ,Z
Facility Type: L -Y- 5 ❑ New 9 Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
(See note below, if applicable ❑)
OPV
11(01-41
(Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size t�p gallons
Exact length of each trench LSO feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of Ze-'>top inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: h. TDH vs.
GPM
Conditions:
(Initial) Wastewater Flow: 3170 GPD
Trench Spacing: ` Feet an Center
Soil Cover: _ 4 inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
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.
inches below pipe
Z inches above pipe
inches total
*If applicable: l undeatand the ryrtem type rpealied it different /ram the type rperiled on the app/iratian, / acrnpt the cped1c; tionr aJ this pemlit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the imended use dtangex The Construction Authorisation shall not be transferred when there is a change in ownership of the site. This
Lonsnumon 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 enc: `/ Date: l—
Construction Authorization Expiration Date:
HTE# lg—!!g-- y3in-73
Permit # Z-2 `J Q
Harnett County Department of Public Health
Site Sketch
//JJ //11 � PROPERTY LO(ATON:
ISSUED TO: /�-'IA1 UIXX' /�iPESC SUBDIVISION
LOT #
Authorized State 4i Date:
eT6 1101,3 C rn3v f fry , fs 647 ov-'�
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