IPAC RHTE# a9-Js = a3oV7k Harnett County Department of Public `~nealth 2 5 6 4 4
Improvement Permit
A building permit cannot be issued with only an Imp men Permit
PROPERTY LOCATION: C ;7"k W's I a fir- i" cs41F
ISSUED T0: c~ abn b.~~ae~a qcJ SUBDIVISION LOT #
NEW ❑ R PAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: a-2 X I il. i
Proposed Wastewater System Type: a.5` 11 VL~: CA
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: L.__._max
Basement ❑Yes C~T~o~
Pump Required: ❑Yes L~ 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, we years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: 1 o4Z2l2ee9 SEE ATTACHED SITE SKETCH
The issuance of this permit by therRealth 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 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 .1956, 1952, .1954, ASS, .1956, .195), .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 T0: ~o {~rtc~}~,cacQaCr PROPERTY LOCATION: ~ry/f t~ la~cly-G.~
SUBDIVISION LOT #
Facility Type: L' mole Q'Iew ❑ Expansion ❑ Repair
Basement? ❑ Yes P! No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**sya ~.r~.,c e•. Sy,-, (Initial) Wastewater Flow: GPD
(See note below, if applicable 5.
0-5-X A--`l -4° -r,,./~, r- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size - gallons Exact length of each trench _a feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ad inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: feet on Center
Soil Cover: ff- !z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction 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: f Date: .2 6 E I ^;C'~ Construction Authorization Expiration Date: a ~3 ;2-1Z?A--,I-/
HTE# G - 5'= a Q q Permit
Harnett Connty Department of I'tiblic Health
Site Sketch
` PROPERTY LOCATON:C rg!/,) Qo Ak, X6 .
ISSUED TO: ~k x cs, on too c er SUBDIVISION LOT #
Authorized State Agent: J-
Date: /G
y.~,G A ~ V 1 ` ♦ V
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