IPAC RRHTE # 11-'5- - z25 -V, 4 Harnett County Department of Public Health 28224
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:6-h,45 o ,51�'
ISSUED TO:. �UT `' /Z�dolu C, UC Z SUBDIVISION N4- LOT #
NEW REPAIR ❑ EXPANSIA ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 0LsJ6"L i
Proposed Wastewater System Ty e*
Projected Daily Flow:GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes O No
Pump Required: ❑Yes ❑ No 0-MMav)k required has d on final location and elevations of facilities
Type of Water Supply: El Community 2 Public Ll" Well Distance from well feet Permit valid for: ET Ftve years
Permit conditions: ❑ No expiration
Authorized State A -, Date: Z-- f 2--t 5SEE ATTACHED SITE SKETCH
The issuance of this permit be each 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 i e 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: Z -U1 5 PROPERTY LOCATION:
SUBDIVISION IZ:- -'--' /-4-ja-, LOT #
Facility Type: L El,*N-e—w ❑ xpansion ❑ Repair
Basement? El Yes No Basement Fixtures? El Yes E�' o
Type of Wastewater System" S,., -i, �— -- (Initial) Wastewater Flow: Lf 2J GPD
(See note below, if applicable ❑)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench E0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: ZA -') (8 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
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING 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
'-7 inches above pipe
/Z inches total
**If applicable: !understand the system type specified is different from the type specired on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site Dian, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in ownerchin 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 t: Date: Z f 2 -1 5—
Construction Authorization Expiration Date: 2.x-1 Z- ZD
HTE # / t - - Zj S Permit # 2 o Z -Z �(
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 2 /210
ISSUED TO: t -� S %�Dz P%'�v��-Z— SUBDIVISION LOT # _
Authorized State went / ®`(i �( /� Date: 2-12
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