IPAC RRHTE#—/� 3(x'2—jZ-C Harnett County Department of Public Health 28574
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:Z9`ry /Zo')I s Aril
ISSUED TO: S %t .G/ 4 /UF�J% SUBDIVISION LOT # L
NEW FK REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �'>
Proposed Wastewater System Type: 216'04, (Z A4VhJ ttN_
Projected Daily Flow: 5CCaa GPD
Number of bedrooms: Number of Occupants: It:, max
Racpmpnt I-lYpc Eno
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No fs Mia) be required based on final location and elevations of facilities
❑ Community IJ Public ❑ Well Distance from well feet
Permit valid for.
Cr Five years
❑ No expiration
Authorized State t: Date: /O" Z3 —/ SEE ATTACHED SITE SKETCH
The issuance of this permit by t alts Department in no way gumantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement, This
site is subject to revocation if t 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 in conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .195D, .1953, .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 T0: S/—�//4al F/c PROPERTY LOCATION: )`V1'S ,ZR JA C�Jf ,en# X%i
SUBDIVISION I If ejc:Lo,.— I 'f a LOT # Z
Facility Type: c`J—r-s New Expansion t Repair
Basement? ❑ Yes 12r No Basement Fixtures? ❑ Yes E! No
Type of Wastewater System" aS% i9�L,-N� aacsItc,• — (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
_245R/6 IRetw— (Repair)
Installation Requirements/Conditions Number of trenches q
Septic Tank Size 1600 gallons Exact length of each trench ?0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Zt/ inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: ° Feet on (enter
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
2 inches above pipe
inches total
"If applicable: / understand the system type specified is different from the type spelled on the application. / accept the spedlcationr o/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 Aushonution shall not be transferred when Mere is a change in owmrship of the site. This
construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this petmic SEE ATTACHED SITE SKETCH
Authorized State A Date: / —Z3— t 5"
Construction Authorization Expiration Date: t v — L3— zJ
HTE#
Permit # 2 es- 7 q
Harnett County Depailinent of Public Health
Site Sketch
PROPERTY LOCATON: —,*Z /Y/S- t-Z+,.J15 d4T)& -J+ 4.6
ISSUED TO:S �/�/fAwl�� �aiL.+� i SUBDIVISION L.)WeIZ a-. , I t^+e LOT # Z
Authorized StateA� Date: 16 -03
r-
4
M