IPAC RHTE#.J'S'=57- 357293 Har, .tt County Department of Public .wealth 28352
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION:c751 Nq7 47,1!dta C.W6 teZ
ISSUED T0:/f¢ Xa)Z c SUBDIVISION LOT #
NEW 0' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: jii,-,n 4-n 2`5% R
Projected Daily Flow: GPD /_/®
Number of bedrooms: Number of Occupants: max
Basement ❑Yes o
Pump Required: es ❑ No ❑ MMarequired based on final location and elevations of facilities
Type of Water Supply: ElCommunity IQ Public ❑ Well Distance from well feet Permit valid for:
Permit conditions:
Z Five years
❑ No expiration
Authorized State A Date: —6—r.-15_ SEE ATTACHED SITE SKETCH
The issuance of this permit t 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 revocatio ' 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..
onstruction Authorization
Reauired 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:;Zhi .,, 4- .a A_._/ao�., �� PROPERTY LOCATION: &q 1-462 42-7'hJs 01113 /alb
SUBDIVISION -i W LOT #
Facility Type: < Qr New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 21"No 1190
Type of Wastewater System** ?yt V 62� h r2gi1r ,r' �_ s%r,-._ (Initial) Wastewater Flow: T GPD
(See note below, if applicable ❑) `
to (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench feet
Pump Tank Size /615'y gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: Z® 516 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover:inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2 inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 specified on the app/nation. /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 A t: Date:
Construction Authorization Expiration Date:
HTE#/�"`.� — 357683IR Permit # 28352
Harnett County Department of Public Health
Site Sketch
_ PROPERTY LOCATON: &V7�ls-i�ttC3
ISSUED TO: J 4r,-3 4- -`S"&4t - SUBDIVISION 77 k-. LOT #
Authorized State ent: Date:
DIY
IyL17 his of