IPAC RHTE# iS- S'_�b3�3/Z Harnett County Department of Public Health 28872
Improvement Permit
W)r'I1 aLm CrV CJ P A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: J H Zia
ISSUED TO/I� �i_ _ _n . SUBDIVISION LOT #
NEW Csi REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: {11.d-)!>
Proposed Wastewater System Type: 21-5`Z Z-
ProjectedDaily Flow: f'i ti D GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ NoC7�May bb equired based on final location and elevations of facilities
Type of Water Supply: El Community LYPubin ❑ Well Distance from well feet Permit valid for: fJs'Five years
Permit conditions: ❑ No expiration
Authorized State Ag a �� / "(H , J 4 �iJ Dater (n - I - T (e SEE ATTACHED SITE SKETCH
The issuance of this permit by a alth Depatlment 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 to 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 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, .1952, .1954, .1955, .1956, .1957, .1950. 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: ���¢� � ZAy X16 PROPERTY LOCATION:JW
SUBDIVISION LOT At
Facility Type: A 7> d New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes LAD
Type of Wastewater System** SS5&}?�1>-4✓CXJAr-_� Z Cs+7&-- (Initial) Wastewater Flow: (480 GPD
(See note below, if applicable ❑) p
7A " C-7 � /� (Repair)
Installation Requirements/Conditions dumber of trenches
Septic Tank Size ,/VD gallons Exact length of each trench 80 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z2-1> It inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft TDM vs. GPM
Conditions:
Trench Spacing: / Feet on (enter
Soil (over: :4; ---Inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
A inches below pipe
� inches above pipe
T inches total
If applicable: l understand the r/rtem type specified it diAerent /rota the type specified on the application. l accept the rpecdcadvar o/this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to strontium 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 site. This
contraction minimization is subject to compliance with the provisions of the Laws and/Rules for Sewage Treatment and Disposal and to the conditions of this permit act AI IALHEU Sllt SKLILH
Authorized State Date: is' —L6
Construction Authorization Expiration Date: 6 -/ —Z/
HTE# /S- S - 3%3ip3 f?- Permit # Z e 07 ?-
Harnett County Department of Public Health
Site sketch
PROPERTY LO(ATON: ",t,�NZQj
ISSUED T0:���Q¢.4�, SUBDIVISION LOT #
Authorized State A t7 Date:
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