IPAC RRHTE# - - zzo Tofz/\ Harriett County Department of Public rlealth 2 5 4 0 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONJ'0/ 76S _ 1 11~J , /Cz
ISSUED TO SUBDIVISION 19 LOT #
NEW REPAIR ❑ EXPANSION ❑ Site I provements required prior to Construction Authorization Issuance:
Type of Structure: _ .5 r 6
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: 8 max
Basement ❑Yes jN o
Pump Required: ❑Yes ❑ No Io Mae required based on final location and elevations of facilities
Type of Water Supply: 11 Community Io Public ❑ Well Distance from well feet Permit valid for 2-rive years
Permit conditions: ❑ No expiration
Authorized State Age Z Date: 5~ -4-d - 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 i 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 T0: .Sr,47J 7';~ A) h4-91q S PROPERTY LOCATION:
SUBDIVISION LOT # /y
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2"'No
Type of Wastewater System' Zs0lo IZ~hLY/~Zl~J ~~,5{~ (Initial) Wastewater Flow: y~e GPD
(See note below, if applicable
_~5%/lil~tl~37J _ (Repair)
Installation Requirements/Conditions Number of enches Z o't .3 t
Septic Tank Size ~~04 gallons Exact length of each trench _74) et Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover _-_inches
Maximum Trench Depth of Z& it 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: 02 inches above pipe
Conditions:
/z- inches total
**If applicable: /understand the ryjtem type specified ys different from the type Specified on the application. /accept the rpecificationr at this permit
Owner/Legal Representative Signature: Date:
11-1 ,.,.1,,,.11-- -J", i. '-...n,n n we am pion, p,ai, ur we mtenueu use cnanges. toe construction Aumonzanon snap 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 condition% of this nermh uF ATTArurn CITF UU N
Authorized State Age Date: 5-r- 21 ^0
Construction Authorization Expiration Date: 5'-Z ( - i q
HTE# b j- 5 = ZW 3e lQZ Permit # 2
Harnett ('ounty Department of t'iiblic Health
kite "ketch
PROPERTY LOCATON: s ~76 5-" 1P cO
ISSUED T0: .5Ti9~ f /i►~(L S SUBDIVISION LOT # 1,V_
Authorized State A nr Date: r4
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