IPACHTE#-,s - Z°7 7 Harnett County Department of Public Health
Improvement Permit 2 6 8 0 7
A building permit cannot be issued with only an Improvement Permit
ISSUED T0:4 _ PROPERTY LOCATION ,/C/17
NEW SUBDIVISION f ~ ' . LOT #
c t
REPAIR ❑ EXPANSION •
Type ,r s y
e of Structure: 6 Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Ty e: 'Z S-
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes o ~
Pump Required: ❑Yes ❑ No 311 required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well
Permit conditions: feet Permit valid for. five years
❑ No expiration
Authorized State Age •oeafth l- d ~ r
Date: SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 revocation i e 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, .1952, .1954, ASS, .1956, .1951, .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: 414:]i C- Z PROPERTY LOCATION: Z- CA&~5/121
c
SUB LOT # 5
Facility Type: b 4 ❑ New Basement? [I Yes ❑ Repair
No Basement Fixtures? ❑ Yes N~
Type of Wastewater System** ~g
(See note below, if applicable (Initial) Wastewater Flow: GPD
' (Repair)
Installation Re uirements/Conditions Number of trenches
Septic Tank Size ga ons Exact length of each trench 16
Pump Tank Size Ilons feet Trench Spacing: Feet on Center
Trenches shall be installed on contour at a Soil Cover:
Maximum Trench Depth of. - Y- `e inches
inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1_114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
Conditions: Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature:
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 Deeeis 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 A
Date: i - s ~ Z
Construction Authorization Expiration Date:
HTE# 7 Permit #
Harnett County Department of Pablic Health
Site Sketch
PROPERTY LOCATON: ~Id f
ISSUED TO: SUBDIVISION
LOT # °
Authorized State Agen . ,m
Date: lea Z
61