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HTE#O~-s--ZZaL'2-5 Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
25150
PROPERTY LOCATION: /7o7
ISSUED T0: SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F~b Z '57n,'.+a 'o /3-
Proposed Wastewater System Type: ZSSaw
Projected Daily Flow: a GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No ~-Pump Required: ❑Yes ❑ No LAS Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
(S Five years
❑ No expiration
Authorized State Agent:, - - Date: 5 =15-- 6 S SEE ATTACHED SITE SKETCH
The issuance of this permit by /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, .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 TO: 13 c r~c~e,c 5 PROPERTY LOCATION:
SUBDIVISION LOT # Z-
Facility Type: SFD + ' /'~r.;L(.Q~ New ❑-'Expansion ❑ Repair
Basement. El Yes No Basement Fixtures.? Yes No
Type of Wastewater System** ~$?/g ,te-t'~,0 c,j7.zry (Initial) Wastewater Flow: `C) GPD
(See note below, if applicable
Z5-6/6 MIL) CT) 0>3 air)
Installation Requirements/Conditions Number of trenches
Septic Tank Size / o0 d gallons Exact length of each trench / 5-p feet Trench Spacing: I' Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. G inches
Maximum Trench Depth of. 161," ~ 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: / Z. inches total
**If applicable /understand the ryrtem type specified it different from the type rpeci6ed on the application. /accept the specification? of this permit
Owner/Legal Representative Signature: Date:
a > -1- lU icrucermu n me sae plan, pear, or me mtenaea use changes. ine construction numonzation snail 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 Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Date:
Construction Authorization Expiration Date: Y-r r
2'...34
HTE# Der - :S-- 2- Z-0(,r,-2- a s Permit # -2 50
Harnett Connty Department of Public Helalth
Site Sketch
PROPERTY LOCATON: -='5;C/70-7 ISSUED TO: SUBDIVISION LOT # =7,
Authorized State Age Date: OS
7
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