IPACHarnett County Department of Public Health 28228
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
• ,
ISSUED TOd- / /id SUBDIVISION �ic / �-e � LOT # �
NEW f' / REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T pe: / t
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Z Mrequired based on final location and elevations of facilities
Type of Water Supply: El Community L�a e Public ElWell Distance from well feet Permit valid for: 2,ive years
Permit conditions: ❑ No expiration
Authorized State Age Date: Z —( S'� SEE ATTACHED SITE SKETCH
The issuance of this permit b e ealth 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 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 TO: �)�T � PROPERTY LOCATION6L/Y
�/'� SUBDIVISION LOT # Z
Facility Type: IJ' New �❑:1 EExpansion ❑ Repair
Basement?
El N��ement Fixtures? El Yes A-0
Type of Wastewater System** Z�MjZ, 5�9 � 5,5/ZZ_ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) /
4 7 (Repair)
Installation Requirements/Conditions Number of trenches /_
Septic Tank Size /1A6 gallons Exact length of each trench !JC) feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 71-1 riches
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 C";' inches below pipe
Aggregate Depth: 2- inches above pipe
Conditions: �r �l v,ti- f 2 -s ; oy /44' inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10ft. FROM XNY PART OF SERC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type sperired is different from the type specified on the app/ication. / accept the aperifications of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site Dian, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a chanve in nwnershin of rhe sire 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 Ag t: Date: �T -
Construction Authorization Expiration Date: 3 -2—Z6
HTE# Permit # Z8 ZZ
Harnett County DepaAment of Public Health
Site Sketch
PROPERTY LOCATON: ' / .,f-
ISSUED TO: �_ �Ndale=== SUBDIVISION
Authorized State Agen Date:
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