IPAC RRHTE#/Ss —,SSD V Harnett County Department of Public Health 29382
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit t
PROPERTY LOCATION ��D3_ &kV[iA44th
ISSUED TSUBDIVISION LOT #
NEW [if REPAIR/Ll'EXPAN ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: /✓Ytmu Lr7-1 .
Proposed Wastewater System Ty e: 22SUib fl—Q e.�
Projected Daily flow: GPD
Number of bedrooms: Number of Occupants: to max
Basement []Yes No %
Pump Required: ❑Yes ❑ No f� M he required based on final location and elevations of facilities
Type of Water Supply: 11Community Iblic ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State A t: Date: S —"l — /'7 SEE ATTACHED SITE SKETCH
Be issuance of this permit b e alth 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 to revoatiu 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 taws and Rules tor Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
squired for Building Permit)
The construction and installation requirement of Rules .1950, .1952, .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 system layout
ISSUED T0: fPROPERTY LOCATIK* 1-76 30
SUBDIVISION LOT #
Facility Type: /New ��Expansion ❑ Repair
Basement? ❑ YesVNo Basement Fixtures? 11 Yes [XII
Type of Wastewater System** (Initial) Wastewater Flow: -?4D GPD
(See note below, if applicable
3 � epair)
Installation Requirements/Conditions Number of trenches Li
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
Maximum Trench Depth of: a�� h inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Soil Cover:nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
6 inches below pipe
2 inches above pipe
—7— inches total
**If applicable, / understand the system type specified is different from the type speci/ied on the application. / acrept the specifications o/ this permit.
Owner/Legal Representative Signature: Date:
This concoction 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 site. This
construction Authorization is subject to compliance with she provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Date: s �/
Construction Authorization Expiration Date: Y—Y—ZZ.
HTE#2�� Permit # �9 3 8Z
Harnett County Department of 1"tiblic Health
Site Sketch
/ PROPERTY Lx /%U3
ISSUED T0: �(C, .sem SUBDIVISION LOT #_
Authorized State AXt:-3 - Date: S cl — /7
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