IP to replace existing septicHTE#C- -SHarnett County Department of Public Health 2 51 9 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Rc~t3E~c~ q-ts)
ISSUED TO: SAM ~st~y Q~'~~ SUBDIVISION Qv,,,- C tg,,, c. VKi,,., LOT #
NEW ❑ REPAIRI EXPANSIO ❑ Site Improvements required rior to Construction Authorization Issuance:
Type of Structure: r)P.,4.V1o q„ 60~ \S On- QEet OT= `"L
Proposed Wastewater System Type: Ex -t-r~N _
Projected Daily Flow: 3~o GPD QyITrSthtC. SZpc,C"Ir-h . F-: '~X ,S-skNG .11.t~
Number of bedrooms: 3 Number of Occupants: max r
Basement ❑Yes KNo ~Ac+s N $ecx.~~t Q.> ~s Cot c pp-5
Pump Required: ❑Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ';8. Public ❑ Well Distance from well d feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Q 7 Date: 31» 10° SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i ce 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, .1951, .19% 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: 5P.'n ~IC~c-Z4 PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: Me„4 ❑ New ❑ Expansion ~R Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System'
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size t o0o gallons
Pump Tank Size gallons
(Repair)
Number of trenches t tN
Exact length of each trench feet
Trenches shall be installed on contour at a
(Initial) Wastewater Flow:
Trench Spacing:
Soil Cover.
3E0 GPD
Feet on Center
inches
Maximum Trench Depth of: 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: ~.E el-rac , r.t ` 5 F c S sett inches total
**If applicable: / understand the system type specified /s different from the type speciped on the app/iwion. / accept the speciflwionr 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 chanoe in nwnrrshin of the cite Thit
Construction Authorization is subject to compliance i 3io e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
t F-a-
~
Authorized State Agent: 9- Date: 3 l-710
Constructlo Authorization Expiration Date: 1-7V4