IPAC R"TE#Harnett County Department of Public Health
25522
Improvement Permit
pp tt A building permit cannot be issued with only aq Improvement Permit
ISSUED TO: W u _ PROPERTY LOCATION: N
SUBDIVISION h c
NEW ~ v REPAIR El EXPANSION 11 toi #
Type of Structure: Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: 2 „ s
Projected Daily Flow ` t\~ GPD
Number of bedrooms: eg 13 Number of Occupants: A-0-max
Basement ❑Yes ~ N 0
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Lo munity -~X4`ub6c Well Distance from well O~
Permit conditions: L b ~ t~ feet Ott
Permit valid for arc,. i ~ Five years
ec kS ❑ No expiration
Lr-- t
Authorized State Agent:
Date: The issuance of this permit by the alth Department in no way guarantees the issuance of other permits. The permit~rriis respons b fo `che(king 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 riot be affected by a change in ownership of the site. This permit is subectAtoTccom liiaance with the pro
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Pi provisions of
The construction and installation requirements of Rules .1950, .1952, .1954, .1955,
with the attached system layout.
ISSUED TO: t ) , C,
PROPERTY LOCATION: 0 C 2
-77
Facility Type: `T i~ S C72 SUBDIVISIONN LOT
Basement? El Yes New ❑ Expansion 13 Repair I' ~1
No Basement Fixtures? ❑ Yes r312L4
Type of Wastewater System* (U --C LwA ~x,,
(See note below, if applicable Li) (Initial) Wastewater Flow: to GPD
y f W"-. r-'.. ~S' .1 ~(Rejair)
Installation Requirements/Conditions
Septic Tank Sized Number of trenches
-L- _ _ gallons Exact length of each trench
Pump Tank Size I f feet
gallons Trenches shall be installed on contour at a
Maximum Trench Depth of _1"$~_~ inches
(Trench bottoms shall be level to +1.114"
Pump Requirements: ____.____ft. TON vs. in GPM all directions)
Conditions:
Trench Spacing: Feet on Center
Soil Cover. ~2 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
- inches total
**if applicable: / understand the system type speeded is different from the type specified on the application. / accept the specifications of thi Pennlt
Owner/legal Representative Signature:
This Construction Authorita6on is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization s1 a11 not be transferred when Deeeis a change in ownership of the site. This
Construction Authonzation 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:
'D Dl), - r-->
Construction Authorization
lReguired for Building Permit)
1456, .(9 51, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
Construction Authorization Expiration Date:
HTE# Permit # 0,5 5 Z -2-
Harnett coutlt`, I)epaltTllellt of Public Health
Si to Sketch
ISSUED TO: t J Cam{, PROPERTY LOCATON:
SUBDIVISION fc 1^ , LOT #
Authorized State Agent: L4 ~
Date: 5-
t
kin- A~r-
9A,
~JD 3
r 4-41
s
t., n ctt r-it ~wi cj
3~
P` gyn.
5f
~ t>
1