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HTE#c,1~ Harnett County Department of Public Health 2 5 2 7 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L aC +z he Z f
ISSUED T0: At raw. y~.e..,c SUBDIVISION LOT #
NEW ❑ REPAIR
Type of Structure: L11- EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: Q
Projected Daily Flow: 6 t GPD
Number of bedrooms:~--Number of Occupants: t max
Basement ❑Yes CF4-
Pump Required: ❑Yes 1Xo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E91*1ublic ❑ Well Distance from well feet Permit valid for.119- <ve years
Permit conditions:
❑ No expiration
Authorized State Agent::
Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the th Depa ent in no way guarantees the issuance of other permin. The permit holder is responsible for checking with appropriate governing bodies in meeting their retpsirements. 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 m ownership of the site. This permit is subject to compliance with the provision of
the laws and Rules for Sewage Treatment an d 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, .1956. 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: 1 246
PROPERTY LOCATION: X1scn <<•
SUBDIVISION LOT #
Facility Type: ❑ New ❑ Expansion Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** i ; E A, 1 (Initial) Wastewater Flow: 6 GPD
(See note below, if applicable
Installation Requirements/Conditions Number of trenches (Repair)
Septic Tank Size gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +1_114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: "n c 1, t 41,,` L -1-Y ' r./:
Trench Spacing: Feet on Center
Soil (over. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: /under tand the system type specified is different from the type foecired on the application. / accept the specifications of thin permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorisat on 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 Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agenti Date: 6 2-
Construction a
''r Construction Authorization Expiration Date: l 2~ / S/
oq 5-
NTE # ~c~ • r Permit # < S7
Harnett County Department of 1- ~iblic Health
Site Sketch
PROPERTY LOCATON:_ c►.,a~~.~c Lj-
ISSUED T0: / C' c J', , - SUBDIVISION ► AT W
Authorized State Agent:
c...Jr-Z.1C t le C(.