IPAC RRHTE# C` q- s-aayy~,~;Z Harnett County Department of Public Health 2 5 81 0
Improvement Permit
A building permit cannot be issued with only an I provement Permit
PROPERTY LOCATION: dlurs ~s
ISSUED TO:~c.tr,ncrJ SUBDIVISION WCG
NEW Irk' REPAIR 13 EXPANSION I--] LOT # / 7 8
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: sF P
Proposed Wastewater System Type: v o Ze ~c{;o,~-~•
Projected Daily Flow- 3 GPD
Number of bedrooms:- Number of Occupants: L max
Basement ❑Yes EfiNo
Pump Required: Elres- ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community [Public ❑ Well Distance from well feet Permit valid for. B'F ve years
Permit conditions:
❑ No expiration
Authorized State Agent: L_ Date: X 2t7o 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 prorisions 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
with the attached system layout
into this permit and shall be met Systems shall be installed in accordance
ISSUED T0: Cwr~.1c~
PROPERTY LOCATION: 'A%3rs-
Facility Type:
SUBDIVISION ~ o c S
E? N
❑
:rt LOT #178
ew
Expansion ❑ Repair
Basement? ❑ Yes C?No Basement Fixtures? ❑ Yes ❑ No
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Wastewater System
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Q fie. 11.t'p. «t S S-4e_,
(Initial) Wastewater flow: 3(00 GPD
(See note below, if applicable
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Installation Requirements/Conditions
pa
r)
Number of trenches
Septic Tank Size ICn0 gallons
Pump Tank Size /000
allons
Exact length of each trench -)QU feet
T
h
Trench Spacing: 9 Feet on Center
g
renc
es shall be installed on contour at a
Soil Cover. inches
Maximum Trench Depth of /6 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: inches above pipe
Conditions: bar d~~ G4-tx'~ vinches total
c
o ♦ J C/ 2 r►~. ~ r . ~ ~e ci.J" ~sJ r ~ r L Nw T+ ~ ~ c~~ ~ Q a J''~" f CS
c7.tit J-e Pt•r- n //It,J re~c3,er c~c,
*"If applicable /under tand the system type pecified is diNerent from the type speajed on the application. l accept the speafla ions of this pe,-mit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revoation if the site plan, plat or the intended use changes. The Consvuction 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 SKETCH
Authorized State Agent: Date: o0 14
Construction Authorization Expiration Date: ;Ao o 9
HTE# q J~ 2 V L/5- Permit # aS"~'JU
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: Cd .
ISSUED TO: SUBDIVISION cd rt LOT # / 78
Authorized State Age
Date: /z / -206q
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