IPAC RHTE#joff::-S - /9zjriz Harnett County Department of Public Health 2 4 6 0 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
L/ PROPERTY LOtATION:,IL/yYcf ~%yyl~~•~.~iGI~
ISSUED fTJtnr_ i~37.1 ~~q~e..cS SUBDIVISION J~ Sti ~ts'T,r,.,S LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F~
Proposed Wastewater System Type:
Projected Daily Flow: 3(c 0 GPD 7'-
Number of bedrooms: Number of Occupants: max
Basement ❑yes No
Pump Required: ❑Ves ❑ No ❑'May required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. 12' five years
Permit conditions: ❑ No expiration
Authorized State Ag t:: Date: 3-/Z-D fl SEE ATTACHED SITE SKETCH
The issuance of this pe the Neahh 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 taws 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 .19SQ, .1952, .1954, 1955, AM, .1957, .1956. and AM are incorporated by references into this permit and shah be met. Systems shall be
installed in accordance with the attached system layout
ISSUED TO: :✓/fra.., /jJ~~da~-r S Tic PROPERTY LOCATION: 4V Z~*)Imlj /Z~)
SUBDIVISION ~d IJ rFrr 'T LOT # •2.
Facility Type: 5F b Z --New El Expansion ❑ Repair
Basement? ❑ Yes L2' No Basement Fixtures? ❑ Yes 21o
Type of Wastewater System" ~.~/a~tAA?~Ol.a $~.s26t4kial) Wastewater Flow: 3&0 GPD
(See note below, if applicable ❑
G~i( (Repair)
INWIlOon Itegrireltmtts/Conditiont
Septic Tank Size 116 4) gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 70 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of R>7tO inches
(Trench bottoms shall be level to +/_1/4"
in all directions)
GPM
Trench Spacing:_ Feet on Center
Soil Cover. _4?_ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2 inches above pipe
Z inches total
-it applicable: / mdeatand the syrtem type specified /s different from the type specifed 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 ownership
of 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.
Authorized State A G~3. ' SEE ATTACHED SITE SKETCH
Date: 2 -a £3
Construction Authorization Expiration Date: ~-t Z -13
_
NTE# S = 9 Z3S/Z Permit # Z `I C0 O ~j
Harnett County I epar~tment of hiblic Health
Site Sketch
PROPERTY LOCATON:S/L/Y3q ~D/fi~tSd}.1 2b
ISSUED TO: _ / ►~-ir~L/~~ I-S-Or4gc?,<, S SUBDIVISION _~b/fi•~5d?J og~;ft~ S LOT #
Authorized State Agent; Date: 3 -1-3 -0 A
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