IPACHTE#09 - s'- L3318 Harnett County Department of Public Health 2 5 7 0 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION- - O/ .J
ISSUEDD~/~s'1 ,Z VC- SUBDIVISION LOT # /
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: /00/)
Proposed Wastewater System Type:
Projected Daily Flow: 3(~O _ GPD
Number of bedrooms: Number of Occupants: h max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No t~ M be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for. Ld Five years
Permit conditions: ❑ No expiration
Authorized State Agen~/~~ Date: yz SEE ATTACHED SITE SKETCH
The issuance of this permit Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for clicking 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, .1951, .1958. and .1959 are incorporated by references into this permit and shall be me[ Systems shall be installed in accordance
with the attached system layout
ISSUED TO: r L PROPERTY LOCATION: Q~iJ
SUBDIVISION .E LOT #
Facility Type: New VExpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes I~ No
Type of Wastewater System** 2-5% 0 U7S,~ (Initial) Wastewater Flow: -V-v6_ GPD
(See note below, if applicable
Z5"/o L~& 0 (Repair)
Installation Requirements/Conditions Number of es
Septic Tank Size -.1g266 gallons Exact length of each trench / o D feet Trench Spacing:_ Feet on Center
Pump Tank Size gallons Trenches shali be installed on contour at a Soil Cover: G inches
Maximum Trench Depth of:;Z/9 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:
inches below pipe
Aggregate Depth: Z inches above pipe
IL inches total
**If applicable: / onderrtand the tyttem type specified is different from the type Specified on the application. / accept the ,rpeci6cationr of thi permit.
Owner/legal Representative Signature: Date:
" ..,,.-.,-.1- „ --J-1 c uinuoo n one ,nc pian, plat, or one mrenueu use cnanges. the tonstruction Authorization 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 SKFTCH
Authorized State Age Date: /Z' 01
Construction Authorization Expiration Date: 1-7--a- /
HTE # Z.53/8 Permit # Z 5 70 7
Harnett C'ounty Department of hiblic Health
Site ~vketch
PROPERTY LOCATON: !5",41A)
ISSUED T0: `lw1 SUBDIVISION Cf e-4v-e LOT
Authorized State Age ~1~. Date: 12 d S
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