IPACHTE#�S '.S =3G 3�9 Harnett County Department of Public Health 28668
ImDrovement Permit
A building permit cannot be issued with only an Improvement Permit
— / PROPERTY LOCATION:i�cew.0 D/z✓!Jg,u..-� �=
ISSUED TOyz�.9s[X lt/S�9rs��G _ SUBDIVISION LOT #
NEW fa REPAIR ❑� EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _
Proposed Wastewater System Ty e: ,WO4 —17.01
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes No
Pump Required: ❑Yes No ❑ 1130e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Iff Public ❑ Well Distance from well feet Permit valid for. 211;e years
Permit conditions: ❑ No expiration
Authorized State ' G -I;jn c_.V Date: / 2- 30 —t S— SEE ATTACHED SITE SXETCH
The issuance of this permit Wealth Department in no way guarantees the iuumce of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revo tionvirthe site plan, plate, 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..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, AM, .1954, .1955, AM, AM, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed to accordance
with the attached system layout
ISSUED TO: �US PROPERTY LOCATION: TC /Z1,0
SUBDIVISION L0 T #
�
Facility Type: 2' New 11 xpansion ElRepair
Basement? ElYes No Baseme��,,fi`xtures? 11 Yes E-' o
Type of Wastewater System" ZM K�JC474L.gls4%�� (Initial) Wastewater Flow:TA(jaO GPD
(See note below, if applicable ❑), _ 1 n
Septic Tank Size_ gallons
Pump Tank Size gallons
Pump Requirements: ft TDH vs.
Conditions:
Number of trenches N
Exact length of each trench gQ feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: l6!?ZT0' es
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
Trench Spacing: 7 Feet on Center
Soil Cover. Spacing.
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: 2 inches above pipe
p 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: / understand the system type speciled it different from the type speciled on the app/kation. / accept the specification 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 Authorization shall not be transferred when there is a change in ownership of the sire. 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. ltt AI IALNtD lilt )IItILN
Authorized State ent: Date: / 2 — 3 a — 9 '5r
Al Construction Authorization Expiration Date: t 2— 30 - 1-0
NTE#/S S = 36,3:J> Permit # 286,6 8
Harnett County Department of ll�iblic Health
Site Sketch
_ PROPERTY LOCATON:; x,x—H30 Olxj4 Bas.—�� %�
ISSUED TO: //¢rL. US% f � � SUBDIVISION LOT #
Authorized State Ace4��4 "�/MJ Date: / Z — 3d) —/'
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