IPAC RRRHTE# O ~S' tg e3 Harnett County Department of Public Health
Improvement Permit 2 6 7 9 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 7-, /-I
ISSUED TO: 1J1'c r~ ley 6~at i2 SUBDIVISION P~ tiI Po :I F LOT # /75'
NEW ✓0 REPAY I-] EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z 7 " .Qe ~c . 1 1v r ~
Projected Daily Flow: 7(.C) GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 216
Pump Required: ❑Yes L?lo ❑ MMayf required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E4-Public ❑ Well Distance from well feet Permit valid for: EJ"Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: /vim Lt tY Date: 2 2 z-- 'SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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 revocation 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, .1952, .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 171rc~-A ,'out. 1
ISSUED T0: t J~, 7` PROPERTY LOC7~t--i~- N:
SUBDIVISION LOT # / -7
Sy
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes ET/ No Basement Fixtures? ❑ Yes No
Type of Wastewater System**~yv (Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches oZ7,~'
Septic Tank Size /000 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: /,9-10 inches
Maximum Trench Depth of. -2V--7(o 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. TDH vs. GPM
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
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 system type speciped is different from the type specired on the application. 1 accept the rpeciTcations 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
Lonstruction Authorization is subject to compliant 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 Agent: Dat Z 2C~-Z- z-~2G12
Construction Authorization Expiration Date: -Z ~l7 12 z~,Zat'7
HTE# (3 8-,5-- / ~ 8 80 4e )Z,
Permit # t-7 ~
Harnett (bounty Department of Public Health
Site hetc ll
PROPERTY LOCATON:
ISSUED TO: i'tcAk"~~~f SUBDIVISION ~~nl LOT # 17V
Authorized State Agent: Date:
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