IPACHTE# Harnett County Department of Public Health 2 4 6 0 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/r PROPERTY LOCATION:
ISSUED TO/ SUBDIVISION r-,ir•._._ h o/~ LOT #
NEW [if RE IR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Swcture: S
Proposed Wastewater System Type:
Projected Daily Flow: 3 (s a GPD
Number of bedrooms: -1 Number of Occupants: ~ max
Basement ❑Yes 2 No
Pump Required: ❑Yes ❑ No !d_Maa e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~ Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for. 0-Five years
O No expiration
Authorized State Ag ` Oate: Q~ SEE ATTACHED SITE SKETCH
The issuance of this b fleadth Department in no way guarantees the issuance al other pernsits. The permit holder is responsible for checking with appropriate governing bodies in meetieg
then requirements. This is subject to revontion it 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
pernit 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 .111% .1952, .1954, AM, .1956, .1957. AM. and .1959 are incorporated by references into this permit and shag be met. Systems shall be
installed in accordance with the attached system layout
ISSUED TO: Atr,6- PROPERTY LOCATION:
Z New LOT #
Facility Type: S 1~ New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes I No
Type of Wastewater System** s>'~Initial) Wastewater Flow-
(See GPD
(See note below, if applicable El) 25 (Repair)
lastahtioa Itegtdr~nWtondi6at:
Septic Tank Size //6(,6 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Aggregate Depth:
inches below pipe
oZ inches above pipe
inches total
..If applicable: / undeatand the srsiem type .rpeclfied it different from the type rpeuled on the app/ication. / accept the specifications 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 owners)
of the site. This Construction Authorization is subject to compliance with the provisions of the Laws and Riles for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SKETCH
Authorized State Age Date: 3 y d
Construction Authorization ~Explratlon Date: 3
Exact length of each trench / t; 0
t;~ feet Trench Spacing Feet on Center
Trenches shall be installed on contour at a - Soil' Cover: (w inches
Maximum Trench Depth of. z6 , /8 inches (Maximum soil cover shall not exceed
(French bottoms shall be level to +/.I/q" 36" above the trench bottom)
in all directions)
GPM
HTE # X18' S~'~' f `~~o S'' Permit # a.r 5/
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Harnett County I epal-tillellt of hiblic Health
Site-Sketch
PROPERTY LOCATON: ~s•~ cs SISSUED T0: ,~1tC1Cc,~ -s-
SUBDIVISION ob T~ LOT #
Authorized State Age 6 ~~R Date: _ j- y - O 8
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