IPAC RRHTE# 1ST—t5-—3-7i11� Harnett County Department of Public Health 28575
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:c Jy��ilnLsC�e, _�islA �T.tX
ISSUED T0:/✓'.qAt� L✓Zn�,q SUBDIVISION LOT #
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sr"b +- oAr a.. p
Proposed Wastewater System Type: Z_'59'6 tZ:,,rr
r s r4n_�Z'—
Projected Daily Flow Do GPD
Number of bedrooms: S Number of Occupants: /0 max
Basement ❑YesTNo —
Pump Required: []Yes ❑ Nof'J M e required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for. LTJ Five years
Permit conditions: ❑ No expiration
Authorized State A1.6—t:- e— Date: / 0 — SEE ATTACHED SITE SKETCH
The issuance of this per by th Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their nquirementx This
site is subject m revocation if 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 pmvisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The constmction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the anached system layout
ISSUED TO: /�// �l/2�u�n/ ¢ PROPERTY LOCATION: 56
SUBDIVISION LOT #
Facility Type: Fb f lj ad b,ArL 0 --New ❑Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? E] Yes No
Type of Wastewater System** 2,19%� t4Tw L `3.+�%�+—+— (Initial) Wastewater Flow: Caoo GPD
(See note below, if applicable ❑�i
p 4v 25,-Zd2f? 47V c�(Repair)
Installation Requirements/Conditions I Number of trenches _J
Septic Tank Size / Z 6 0 gallons Exact length of each trench � feet Trench Spacing: / Feet on (enter
Pump Tank Size /200 gallons Trenches shall be installed on contour at a
p
SMaximum Trench Depth of: � inches
(Trench bottoms shall be level to +/.I/4"
V� ! in all directions)
Pump Requirements: ft TON vs. GPM
Conditions:
Soil Cover: riches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 Imm the type sped6ed on the app/ication. / acrea he rperifcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject in revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there it 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 Att: Date: / o - 2 3 —/ s
Construction Authorization Expiration Date: / 0 23 -- ZO
HTE# /4'-5'-'3-710,
Permit # Z E3 '5-% 5—
Harnett
Harnett County Department of Public Health
Site Sketch
� OPERTY LOCATON: Ga�
ISSUED TO: 6g,l 11 /J/Z Co/�f a4 / SUBDIVISION CtOT #
Authorized State
Date: /0' 2 3 - , 5
1
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