IPAC RHTE# 4 3 - - 36-: i iDlz Harnett County Department of Public Health 27863
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO
1L;i r SUBDIVISION t�s�— LOT # S
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �dt
Proposed Wastewater System Type: Z501e t lit"
Projected Daily Flow: 33 ca-0 GPD
Number of bedrooms: 1— Number of Occupants: max
Basement ❑Yes L No ��
Pump Required: ❑Yes F-1 No L✓1 Mae required based on final location and elevations of facilities �,,� `
Type of Water Supply: ❑ Community 2 Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agervf.-, — _ e -m, Date: 0 " 2 SEE ATTACHED SITE SKETCH
The issuance of this permit by t alth 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 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, .1959. 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 T0: �tl�2�zr� t"z,$ PROPERTY LOCATION: Z
r SUBDIVISION G �; ,e LOT # 4 4,ft
Facility Type: [New ❑ Expansion ❑ Repair
Basement? ❑ Yes ET"'No Basement Fixtures? ❑ Yes 2-ho
Type of Wastewater System ** (Initial) Wastewater Flow: '36 GPD
(See note below, if applicable ❑)
6 21 •: c�"�. � � r� °" (Repair)
Installation Requirements /Conditions Number of t enches
Septic Tank Size I VOO gallons Exact length of each trench b feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to-4!/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: d Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
% Z_ inches total
* *If applicable: l understand the system type rpeciFied it dif/erent from the type .specified ofl the application. / accept the specipcations 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 ownershia of the site. This
Lonstruction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to rho rnnditinnt nf thi, 4 Ur ATTArurn CIT[ tvtTru
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Authorized State Ag Date:
Construction uthorization Expiration Date:
HTE# Permit # -2,jg�-
Harnett County Department of 1'i -tblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: SUBDIVISION LOT
Authorized State
s
I
Date:
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