IPAC (2)NTE<- a~, 7 Harnett county Department of Public Heaftn
Improvement Permit 2 6 6 0 7
A building permit cannot be issued with only an I rovement Permit
ISSUED T PROPERTY LOCATION: e.J-~-z'
NEW L SUBDIVISION LOT #
REPAIR ❑ rEXPANSION ❑
Type of Structure: / " Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Ty e: n
Projected Daily Flow: GPD 1Q1X V
Number of bedrooms: Number of Occupants:
Basement ❑Yes ❑ No max
Pump Required: ❑Yes ❑ No G/Maj be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community C Public ❑ Well Distance from well
Permit conditions: feet Permit valid for: Five years
❑ No expiration
Authorized State Agent::
SEE ATTACHED SITE SKETCH
The issuance of this permit by we 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 PermiTt)
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 system layout. f
ISSUED T0: us / vOctLS4-"' PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: 1411 / YX & V~ ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes CC'"No Basement Fixtures? I--] Yes ❑ No , - o., v-,,
Type of Wastewater System * - k
(See note below, if applicable (Initial) Wastewater Flow: o~ ~ GPD
Installation Requirements/Conditions (Repair)
Number of trenches
Septic Tank Size _ 0 gallons Exact length of each trench 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ll a inches
(Trench bottoms shall be level to +1-114"
Trench Spacing: 9 Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
1~ ;L inches total
**If aoDlicable l understand the system type specified is different from the type specified on the app/ication. /accept the rpecificatianr of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocati 'f h '
Date:
on i t e site plan, plat, or the intended use changes. The (onstruction Authorization shall not be transferred when there is a change in ownership o► 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 Agent ~ , /
Date: ~ f! o ~ Qrr
Construction Authorization Expiration Date: G -1L J l,A y L
rti
in all directions)
Pump Requirements: ft. TON vs. GPM
C~, A4",- 'k-