IPACHTE# ( Harnett County Department of Public Health 28767
ImDrovement Permit
A building permit cannot be issued with only an Improvement Pe
\ 1 PROPERTY LOCATION: W NL" V7 "l Qz-
ISSUEDTO: ti4 n ON::,sie 0rnL5 SUBDIVISION LOT# 1
NEW�K REPAIR ❑ RPANSION ❑ Site Improvements regu�lred prior to Construction Authorization Issuance:
Type of Structure: 5F9 �4� ays' a I grPonaoy FE ratE VG�w Ho ash
Proposed Wastewater System Type: 315'16 PSoc c-
.. \
Projected Daily Flow: 360 GPD S SE Pct o �i tossk\\ w J& LQ, a�J �Qa NK, )TO
Number of bedrooms: 7;il, Number of Occupants: max,. 1� (^ _
Basement ❑Yes "RNo PR EvE aT �6q, ` Iyg', Q4NST(zV(:.1)cy't , LAF�1G
Pump Required: ❑Yes `.G'No ❑ May be required based on final location and elevations of facilities O v tJn S 14 , b pv 'v" -
Type of Water Supply: ❑ Community Public ❑ Well Distance from well tpi, feet Permit valid for. 'Five years
Permit conditions: ❑ No expiration
Authorized State Agent: �� ���s � Date: 3 iso I T 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in nol9ay guarantees the issuanc her permits. The permit ho its resbansihle hr checking with appropriate gumming bodies in meeting their requirements. This
site is subject to revocation a the site plan, plat or the intended use thanges. The Improvemen Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provision of
the laws and Rules for Sewage Insurers and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and imtallation requirements of Rules .1950, .1952, .1954, .1955, .1956, .19ST, .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 TO: PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: ❑ New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench 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: 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: ft TDH vs. GPM inches below pipe
Aggregate Depth: 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 applicable:/ understand the system type specified is different from the type spedhed on the app/icatioa / accept the spetifcabonr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the sire plan, plat or the intended use changes. The Construction Authorization shall not be manhrul when there is a change in ownership of the site. This
tonstmctiun Authorization is 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 Agent: Date:
Construction Authorization Expiration Date: