IPAC RHTE# Harnett County Department of Public Health 29608
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Ale
PROPERTY LOCATION: / 576h
ISSUED TO: � L 0 /� SUBDIVISION LOT #
NEW ❑ REPAIR EXPANSION ❑
Type of Structure:,14
Proposed Wastewater System Type: 225 /t.a
Projected Daily flow: GPD /
Number of bedrooms: Number of Occupants: max
Basement Dyes IIWNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: 13 es ❑ No ❑ a required b d on final location and elevations of facilities
Type of Water Supply: ❑ Community Ma Public 1Y Well Distance from well '2Z I feet
Permit conditions:
Permit valid for.
1_9 Five years
❑ No expiration
Authorized State A�Po�_ C / Date: �7 —7S -- I �% SEE AIIACNED SITE SKETCH
The issuance of this permit by lealth 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 revocation the 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 .1958, .1952, .1954, .1955, .1956, .1951, .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: 0�/ / � PROPERTY LOCATION'L;
,/, '/ SUBDIVISION LOT #
jj
Facility Type: 6 b1A) R_hL ❑ New ❑ Expansion Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"
(See note below, if applicable ❑) n
�
s!o C.± 'bUer of trenches (Repair)
Installation Requirements/(onditions Numb
Septic Tank Size 1066 gallons Exact length of each trench 60 feet
Pump Tank Size 1400 gallons Trenches shall be installed on contourtat a
Maximum Trench Depth of: _L9 inches
(Trench bottoms shall he level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: A 00 GPD
19
Trench Spacing:�— Feet on Center
Soil Cover. nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
Z inches above pipe
/7— inches total
**If applicable: / oadetstand the Ahem type specified is different from the type specified on the app/ication. / accept the rpecilcaMonr of this permit
Owner/legal Representative Signature: Date:
This construction Authorization o 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 the provisions of the Laws and Rules for Sewage Treatment and a poral and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized Statk A ent:
Construction Authorization Expiration Date:
HTE# 15- S 376Sq
Permit # a j% U 8
Harnett County Department of 11�iblic Health
Site Sketch
M1
PROPERTY L 1 S 7 G
ISSUED T0: / D C� SUBDIVISION
LOT #
Authorized State A � Date: —2 r