IPAC RHTE# 01- zu'7dY k Harn at County Department of Public naalth 2 5 61 7
Improvement Permit
/ ' r A building permit cannot be issued with only an mproement Permit
ISSUED T0: ! U t r C i d > PROPERTY LOCATION:-_ oor. 1c r' 41 ~f
SUBDIVISION -t01 of
NEW P~1" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: H
Proposed Wastewater System Type: C oAV
Projected Daily Flow: s j tp O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes L~
Pump Required: ❑Yes [~`No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E?':Tu'blic ❑ Well Distance from well feet Permit valid for. EiT-iye years
Permit conditions: ❑ No expiration
Authorized State Agent.: w~- Date: Q o20 t? 9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the 6 Department m 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 a site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a cbange 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, .19% 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: ~~e l t'G,.,,'- C Id PROPERTY LOCATION:C-
C oa(.!"/~-A f Zed
SUBDIVISION
Facility Type: A f ~ ~w ❑ Expansion ❑ Repair
Basement? ❑ Yes 2 N0 Basement Fix ures? es ❑ No
Type of Wastewater System' Cast wen. OIL
IT (Initial) Wastewater Flow:J(~ GPD
(See note below, if applicable
C-Jo 0,'e-' ~,Quit-'-~. (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /00 gallons Exact length of each trench Q O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of, F/ J-q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Condition : 11110 om owe csVc k~ o/` ~~P~•r c3.rt
10 R
Trench Spacing: Feet on Center
Soil Cover. - inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
(0 inches below pipe
Aggregate Depth: 01- inches above pipe
12- inches total
f -VA **If applicable: /understand the system type specified is different from the type specified on the application. /accept the rpecidcatians of chi 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 Authnrimtinn shall not ho n-ferra l mh- A., !r , ,ti,.....:
- _._..b_ ...........r .....v ~.aa. i
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Dimnul and m tha rnndi,i- „t ehla ....m,. (cc ATTArurn CITE cv[Tru
t....... ALL -1-11LV J11L JRLILII
Authorized State Agen 17 Date: 9 Go
Construction Authorization Expiration Date: its
HTE# 0,i - s = a -a c, q Permit # o23'V 1'7
Harnett County Department of lllimic nealth
Site, Sketch
PROPERTY LOCATON: Cc cm ~~r,ngf ,ed ,s",
ISSUED T0: SUBDIVISION CO'r#
Authorized State Agent zo& Date: ` "2v c `I
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