IPAC RHTE# -tg---_559 791z Harnett County Department of Public Health
28389
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ ,-, PROPERTY LOCATIONL<_-/,9:5 /M
ISSUED TT 'A'`�7�rr_. z4eSUBDIVISION LOT # _
NEW 5 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: IS�
Proposed Wastewater System Type: d/„ ilaV CS"7A--s__'3
Projected Daily Flow: 2s" GPD
Number of bedrooms: J Number of Occupants: %max
Basement ❑Yes 210
Pump Required: ❑Yes ❑ No E2'Mayy e required based on final location and elevations of facilities
Type of Water Supply: ElCommunity l�' Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for: E? rive years
❑ No expiration
Authorized State nt/ Date: 5 " 2-� _ 6 �' SEE ATTACHED SITE SKETCH
The issuance of this permit b Health 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 revocatio a 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: ay)i(' /J rz PROPERTY LOCATION: X 19S—S
�' ` SUBDIVISION f LOT #
Facility Type: Z New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 210
Type of Wastewater System** ZS'/,s �-n
(See note below, if applicable ❑y ,,
(LJ Z'-'57� rug 1>tT t —(Repair)
(Initial) Wastewater Flow: GPD
Installation Requirements/Conditions Number of trenches
Septic Tank Size �, gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Trench Spacing: Feet on Center
Sol] Cover: inches
Maximum Trench Depth of: z y 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 IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
2 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 plan. olat. or the intended use chanves. The Construction Authorization shall not be transferred when there is a rhanve in nwnershin of the cite Thk
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. SLI: Al IAI.HtD Silt SKtILH
Authorized State Age t: ,2Date: 5-— 27 ' 5—
Construction Authorization Expiration Date: 5-- Z-? -,?!
HTE # / �`�- — -3"-?f2 '7 Permit # 2 2 3 c S
Harnett County Department of Riblic Health
Site Sketch
ISSUED T0:
�, ,,� PROPERTY LOCATON: �L(SSt4.J3 /lt,c�,�,�, ,2 -{ SUBDIVISION LOT # _
71
Authorized State
Date: 57— 277 ( S
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