IPACHTE#16 5 -TT `� Harnett County Department of Public Health 28602
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
(� PROPERTY LOCATION: -%4S7 (3 L—AYL- 2s�
ISSUED TO: Sy-iov+SUBDIVISION h--o+x& LOT# T
NEW ❑ REPAIR ❑ ANSION )K Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFC) Liels -GN
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: y Number of Occupants: max
Basement ❑Yes
Pump Required: []Yes
Type of Water Supply:
Permit conditions:
— 3<No
:E< No ❑ May be required based on final location and elevations of facilities
❑ Community �X Public ❑ Well Distance from well 160 feet
Permit valid for. Five years
❑ No expiration
Authorized State Agent: �!\ QSJ. '15 Date: 1 S I i1 115 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the of other permits. The permit holder is responsible for checking with appropriate Reverting bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the intended use changes. The Impro mmt Permit shall not be affected by a change in ownership of the site. This permit is subject in 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 imtallation requirements of Rules .1950, .1957, .19S4, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: 5 N OAcc sE o s f
facility Type: SAO C4� ' V� ❑ New
Basement? ❑ Yes ;K No Basement Fixtures? ❑ Yes
Type of Wastewater System** v
(Seen ote belowii f a Ibl El
PROPERTY LOCATION: �Lt5 ��tTALc7 L.ta.xL—
SUBDIVISION > a cL Gwc-,% C.W LOT # �1
-K Expansion El Repair
No y
'• T� (Initial) Wastewater Flow: ICi GPD
, pp ca e )
9—G . Q us:> iR (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench
Pump Tank Size gallons Trenches shall be installed on contour at a
C Maximum Trench Depth of:
-1 S L(Trench bottoms shall be level to +/-1/4"
S�— in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
**If applicable: / oaderutend the Totem type tpe6fed is different from the type tpealed on the applfcatfan. / accept the upechfcationt of thiJ permit
Owner/Legal Representative Signature:
Date:
This construction Authorization is—sub ' rev tion if t ite 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 so compliance a provin of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �h,C, Date: I7 H 7
"Teq�trkction Authorization Expiration Date: I S 410 a
HTE# Permit # a$60a
Harnett County Department of Public Health
ISSUED T0: 5
Authorized
Site Sketch
PROPERTY LOCATON: '845 6vvY{-,Lo LAit- Pte,
SUBDIVISION Luvs- C�z vlki W LOT #
,Ot�v� icnvaDoS&� Date: 11�11�15
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