IPACHTE# /�=5 = 3�110-7 Harnett County Department of Public Health 28400
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
" �� ! PROPERTY LOCATION:c�Jr17/ 76 !
ISSUED T0: J e-5/t,cs--� SUBDIVISION LOT # Z
NEW 2" REPAIR ❑4 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: c}�
Proposed Wastewater System Type: Z5 L% t :71-ZV C
Projected Daily Flow: 3(r, GPD
Number of bedrooms: Number of Occupants: _max
Basement []Yes LSI No /
Pump Required: []YesElNo C7"May required based on final location and elevations of facilities ,�
Type of Water Supply: El Community 2 Public El Well Distance from well feet Permit valid for: 2 ive years
Permit conditions: ❑ No expiration
Authorized State 46L, C', r Date: (/0 r Z5—/5— SEE ATTACHED SITE SKETCH
The issuance of this permit by th 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 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..
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 different from the type speciped 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, plat, or the intended use changes. The Construction 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. SEE ATTACHED SITE SKETCH
Authorized State ent: Date: G —23 %5
Construction Authorization Expiration Date: 6 —23'—y
Construction Authorization
(Required for Building Permit)
The construction and installation requirements
of Rules .1950, .1952, .1954, .1195 5, .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 TO: (J e:::�2
��,c,�r� PROPERTY LOCATION: Zk- / Ze
3
SUBDIVISION �13�,t1a,�;�
LOT # 2
Facility Type:
2' New ❑ Repair
Basement? ❑ Yes No
�❑1xpansion
Basement Fixtures? El Yes L,'No
Type of Wastewater System**
Z'SOlo
(Initial) Wastewater Flow: -6,z GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenc es 3
Septic Tank Size �/D U U
gallons Exact length of each trench-- D_ feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons Trenches shall be installed on contour at a
Lf"
Soil Cover: inches
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
Aggregate Depth: Z inches above pipe
Conditions:
1; _ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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 different from the type speciped 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, plat, or the intended use changes. The Construction 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. SEE ATTACHED SITE SKETCH
Authorized State ent: Date: G —23 %5
Construction Authorization Expiration Date: 6 —23'—y
3610-7 Permit #y�y
Harnett County ]Department ®f -tblic Health
Site Sketch
/ PROPERTY LOCATON: ,57—/?d.3 Mb //r -.G/
ISSUED TO: l.�✓G�-S _ P.L SUBDIVISION _134, � ,�,aL LOT # Z-
Authorized State en:: iz �` Date: 23 5
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