IPAC R_`ITE 9 -- !S:-- 3 3 1 '66 Aarnett County Department of Public Health
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: �� A� � v� ` � -i°C SURDIVISION I (IT It
NEW 11 REPAIR ❑ EXPANSION ®' Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: r,:, Y, t " -'f4
Proposed Wastewater System Type:
Projected Daily Flow: 3 LI O GPD
Number of bedrooms: L— Number of Occupants: C9 max
Basement []Yes 9-1 o _�'
Pump Required: ❑Yes ❑ No 21' MMaa be required bates d on final location and elevations of facilities �%
Type of Water Supply: ❑ Community L� Public ; Well Distance from well feet Permit valid for: 2 Five years
Permit conditions: ❑ No expiration
Authorized State ent:: `6` Date: (,._. & - f 4 SEE ATTACHED SITE SKETCH
The issuance of this permit the 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 revocatit_#,tV 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, .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 T0: trT �_� (t PROPERTY LOCATION:
SUB (VISION J LOT #
Facility Type: I' 1rS fi/i I] New Id Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 040_ �
Type of Wastewater System" d�.,y �-c'. �ti. (Initial) Wastewater Flow: L l 96 GPD
(See note below, if applicable ❑)
25, /a (Repair)
Installation Requirements /Conditions Number of trenches .Z.
Septic Tank Size dF o s
Pump Tank Size gal s
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench & feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. ZC 71 R inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. 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: / understand the system type specified is different from the type specified on the app /ication. /accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subiect to revocation if the site Dlan, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a change in ownershin 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 SEE ATTACHED SITE SKETCH
Authorized State A Date: c -- / `
Construction Authorization Expiration Date: 6 to -/ �
HTE# 1q,S.--3�1 go Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: bj4x.�La T SUBDIVISION
Authorized St <
-7-2� 05 C;
2� M
/71 5;,J-r,4n
I
Date:
11
LOT #
I —lea.