IPACHTE# Harnett County Department of Public Health 25516
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
r PROPERTY LOCATION: / 4{wf rc ~}rr v/
ISSUED TO: Q~ fJ SUBDIVISION 71 Sumrn, ;ot LOT # 1 -%u
NEW ❑ REPAIR ❑ EXPANSION 0 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: x1) S f-D
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Proposed Wastewater System Type: S ed ~ - S3 J
Projected Daily Flow: 'f Y GPD ~~~/krst r.~ Si fifgrk/
Number of bedrooms: _ f Number of Occupants: _ max
Basement ❑Yes 19 No
Pump Required: ❑Yes ❑ No ;K May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Publi ❑ Well Distance from well id feet Permit valid for: 19 Five years
Prmit conditions: t~ art 'It ~ rv+a( Y t ar ❑ No expiration
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Authorized State Agent:: Date:` SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 taws 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: C Min/ *I PROPERTY LOCATION:
SUBDIVISION -1-A LOT
Facility Type s r ❑ New ~K Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System`* 2fi / (Initial) Wastewater Flow: GPD
(See note below, if applicable
(Repair) ~Ano~ ~/v C
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench a?YD feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: L inches
Maximum Trench Depth of. C - 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
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
inches total
If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chances. The Construction Authorization shall not be transferred when there is a rh - In --hi. d thn ita Thi<
Construction Authorization is subject 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 Agent. TA Ilk. Date: 3
Construction Authorization Expiration Date: f d~1 "I
HTE# 2 1 ~7"? Permit # ;Tj-1
Harnett (county l)eparbuent of 1'iiblic Health
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PROPERTY LOCATON: ~ ~V/--
ISSUED T0: l 8'~~11 SUBDIVISION 77 / n~n~• LOT # ~
Authorized State Agent: Date: 1 ~t
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