IPAC R - filed with repairsHTE# ✓�'s °ids "Iry 2 Harnett County Department of Public Health 27968
Improvement Permit
A building permit cannot be issued with only an Impjovement Permit
i r PROPERTY LOCATION:
ISSUED TO: PI, ), A /A J A SUBDIVISION LOT #
NEW ❑ REPAIR Ltd' EXPANSION ❑
Type of Structure:
Proposed Wastewater System Type: &71 lkll�ck� �i ' c,.. 1„l r—
Projected Daily Flow: J'%f" GPD
Number of bedrooms: Number of Occupants: of S✓ max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes E o ❑ Maybe required based on final location and elevations of facilities
Type of Water Supply: El Community LEI' Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for:
0-Five years
❑ No expiration
Authorized State Agent:: l C "T Date: 6 /27ac -(Y SEE ATTACHED SITE SKETCH
The issuance of this permit by fre Health Department i 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, .1957, .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: J PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: �J }` 2e �� tis IA;-1/19E New ❑ Expansion Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** _
(See note below, if applicable ❑)
(Initial) Wastewater Flow: _ 7GPD
o2T7v v n�/�,!/�,. (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench 6-0 feet Trench Spacing: y Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ,_2
Maximum Trench Depth of: ?(__ inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
pc Aggregate Depth: inches above pipe
Conditions: le"o �c / n JOB= 7 �C inches total
WATER LINES (INCLUDING IRRIGATIONS MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: /understand the system type specified is di(feient from the type specified on the app lication. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
this Lonstruction Authorization is subject to revocation it the site plan, plat, or the intended use changes. the Lonstructon 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. Stt AI IALHtD Slit SKETCH
Authorized State Agent ,Cr'// Date:l
Construction Authorization Expiration Date: 4 A 2`y ___
HTE # 3,V'/ �, A
Permit # 97966
Harnett County ]Department of Public Health
Site Sketch
PROPERTY LO(ATON: o2` A?
ISSUED TO: � • I �o A f : SUBDIVISION LOT #
Authorized State Agent: wa.=, c'f� Date: C/,2��G/
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