IPAC RRRHTE#/S—S-3-73►qf2/Jarnett County Department of Public Health 2866.5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
��n' TT PROPERTY LOCATION0y4,/HV7 /telsuVY3 46
ISSUED TO- � U SUBDIVISION LOT #
NEW 2REPAIR ❑ EXPANSION ❑
Type of Structure: XD U
Proposed Wastewater System Type:
Projected Daily Flow: 3 (.Z) GPD
Number of bedrooms: Number of Occupants: L max
Basement Dyes [?'No
Pump Required: []Yes ❑ NofS�M�aY'�a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f� Public ❑ Well Distance from well feet
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
Permit valid for.
21ive years
❑ No expiration
Authorized State ent: �l _ :!' Date: _ / 2/`/ �/ 5 SEE ATTACHED SITE SKETCH
The issuance of this permit by I eahis 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 re revocation d e site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the sire. 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.
Construction Authorization
(Required for Building Permit)
The construction and installation requirement 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 attached Ko'system layout �,
ISSUED TO: �c� D PROPERTY LOCATIONZJe/V %/t7i --&/ 00 18 /W
SUBDIVISION LOT # I
Facility Type: nK.UDO U LST New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E2 o
Type of Wastewater System** S% (Initial) Wastewater Flow: 3C-�0 GPD
(See note below, if applicable ❑)
'?�> Q") (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size OOd gallons Exact length of each trench / 2a feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover._ inches
Maximum Trench Depth of. 1e/-1 /P5 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: h. TDM vs. GPM F inches below pipe
Aggregate Depth: L inches above pipe
Conditions: inches total
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.
**If appficable: / ondeatand the system type Jpeci it different from the type rped ed on the app/nation. / accept the rpecifcationr of thin permit
Owner/Legal Representative Signature: Date:
This Constructions Authorization is subject to revocation if the site plan, plat or the intended we changes. The concoction Authorization shall not be transferred when there is a change in ownership of the site. This
commission Authorization it subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Aeertf' ,4 Date: / Z—/ N —! s"
Construction Authorization Expiration Date: /Z—/Y—Z1s
HTE# L�'�' 3731`ilZl2�Z
Permit # 2 8G 5
Harnett County Department of 1'ablic Health
Site Sketch
--77 PROPERTY LOCATON: aat_14q7 /Zia, �i 5 C I Urs "
ISSUED TO: SUBDIVISION LOT # l
Authorized State Age Date:
Z— /V —/ S—