IPAC RRHTE# i/ - - zc- 1 /o i~ Harnett t ounty Department of Public Health
Improvement Permit 2 6 4 3 7
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 5i'L Z6,~; r zxc /it- ti ISSUED TO- 1` If r f SUBDIVISION LOT # ~f
NEW I✓J REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: A -1$996 rrV'Z Proposed Wastewater System Type:
Projected Daily Flow: -3 GPD
Number of bedrooms: Number of Occupants: 41 max
Basement ❑Yes No
Pump Required: Yes ❑ No ❑ Mat he required based on final location and elevations of facilities '
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: 2Fi~ve years
Permit conditions: C c r ❑ No expiration
Authorized State Agen Date: i SEE ATTACHED SITE SKETCH
The issuance of this permit byv a Health 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 if 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 .1950, .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: PROPERTY LOCATION: ~ 7t Zce,5~- ;fin. c ~ I ~ t
SUBDIVISION rkl LOT #
Facility Type: 17 L~] New ~Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Y No
Type of Wastewater System** 2~ i [ A,~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
` 2`s "/o it~C3 C i 7 Repair
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench / feet Trench Spacing: Feet on Center
Pump Tank Size /c' 0Q gallons Trenches shall be installed on contour at a Soil Cover: _ S inches
Maximum Trench Depth of• inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1141k.1 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 ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If ap licable: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The
Date:
Authonzatmn shall not be transferred when there is a chance in ownership of the site
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. SEE ATTACHED SITE SKETCH
Authorized State A
g f Date:
Construction Authorization Expiration Date: A4 I
HTE# t -S 'Z&11.OZ. Permit # 04,,Y3