IPAC RHTE# 08 -s"- yA Harnett County Department of Publ c Health 24841
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:S~Z/y3S /7,o,C'6
ISSUED T( 11§174 JreZ SUBDIVISION G✓-.i M2_ LOT #
NEW @( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S i",t'~>
Proposed Wastewater System Type:
Projected Daily Flow: 3(e D GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No M_ay required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E: Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
cit Five years
❑ No expiration
Authorized State Agen Date: 4 /f~-OS SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 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 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 system layout
ISSUED TO: ✓ . 4~WKi-1 PROPERTY LOCATION: 5-Z/9~r5- j/Lc 104
SUBDIVISION _ ljM ; pcv~o~~c LOT # I
Facility Type: S - New Cr Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes d No
Type of Wastewater System** zS'/o e"ELYj~i7oyJ 5~, r~ (Initial) Wastewater flow: 540 GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions N mber of trenches Z
Septic Tank Size /DOO gallons Exact length of each trench / -~r,Q_ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of- ,56 inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: % Feet on Center
Soil Cover w inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
6- inches below pipe
Aggregate Depth: 2 inches above pipe
/2.. inches total
*If applicable: / underrtand the ayltem type rpecired if different from the type fpecifed an the application. l accept the rpecilcationa 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 Authorizatmn shah not he rr-forr>e whon thorn is , rhennn i~ --hi. „r he M,
tonstrucnon AuthortMon 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 Age Date: ~I -/9- 09
Construction Authorization Expiration Date:
HTE# US- S- -,Dglglz Permit # .2 Y R Lf /
Harnett County Department of 1=''«blic Health
Site Sketch
PROPERTY LOCATONc3g /Y3a- :~a AA
ISSUED TO: -T. 4. 13A K4-,Z SUBDIVISION to nti.J LOT # 1
Authorized State Agent.`~~ Date:
N
A
4 moo' > ~l
I
D-
~td ,
-'M - >
4s"
! 2q _
/ y3 Sl 7,t;w ~2U
ti