IPAC 2HTE# 51 Harnett County Department of Public Health /29963
Imurovement Permit
A building permit cannot be issued with only an Improvement P!jWyTit
PROPERTY LOCATIO13Y.A 4"?" i oMm .
ISSUED T0: L SUBDIVISION �`r
'Site
xyo LOT # y
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: -;5)LCAD GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes o
Pump Required: es ❑ No ❑ May required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. -Five years
Permit conditions: ❑ No expiration
Authorized State 41gda Dater/dL SEE ATTACHED SITE SKETCH
The issuance of this pe " by Health 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 rev a a 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 m conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, ASS. 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:C_.Il ,�jy,.aaYi1G PROPERTY LOCAT ON. 0 7
SUBDIVISION _ I /..� � LOT # ZY--
Facility Type: Id New ❑Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ET No
Type of Wastewater System** ��r -7A-"5n x�� (Initial) Wastewater flow: ,§Kj>ao GPD
(See note below, if applicable ❑)
Repair)
Installation Requirements/Conditions umber of trenche
Septic Tank Size gallons Exact length of each trench feet Trench Spacing: Feet on (enter
Pump Tank Size 7&!2Q gallons Trenches shall be installed on co}gr at a Soil Cover. inches
Maximum Trench Depth of: /7 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM inches below pipe
`// / Aggregate Depth: �_ inches above pipe
Conditions: YC � ('(wrXi, l� 7, ./JTZ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the ryrtem type tpecilred it different from the type specibed on the app/iration. / accept the JpechRationr o/ 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 commune 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 State Ag!2n� Date: % / Ig
Construction Authorization Expiration Date:
HTE# `4—S— —VQga
Permit At 72— '19
Harnett County Department of Public Health
Site Sketch
/j / A PROPERTY LOEATON: 37 4 + -e tC /26
ISSUED TO: (V / — SUBDIVISION tL1w—LSC %•.&X,4 S_ LOT #
Authorized
t4 q
D
Date: % —6 —16