IPAC RRHTE#_ 1-i) ; I Harnett County Department of Public Health 2 4 4 5 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 11 2- t`
ISSUED TO: C fw,ht 1 r ~(1n:~ i~~~ SUBDIVISION F C' f 1 n S LOT
NEW J6 REPAIR ❑ EXPANSION ❑ Site Ivements required prior tonstruction Authonzation Issuance:
Type of Stmcture: S 0 - !19 4 5'6 ` 3 r, (z- - W,-),j -7- '4 IS r~(it.~a 0, 2-1 S - o k -
Proposed Wastewater System Type: 2 1- L k ,
Projected Daily flow: >5-J c/hy GPD 4N
Number of bedrooms: 'f
_3__. Number at Occupants: __ip~_max
Basement ❑Yes `t&No
Pump Required: ❑Yes ❑ No ',V=May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community } 5r Publi4 ❑ Well Distance from well SJ feet Permit valid for. 54 Five years
Permit conditions: -M(A) r Mc r C r` s }L M A C?
c T;, n_ n s f 1l _ \ l t'► r El No expiration
Authorized State Agent: S Date: 0 1 - a) '4-3 -7 SEE ATTAINED SITE SKETCH
The issuance of this permit by the alth 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 .19SD, .1952, 1954, AM, .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 T0: Cn, V, Vic S) (Jnr l D' PROPERTY LOCATION: i l L ti
N SUBDIVISION LOT #
Facility Type: ~O - i'f 3x 1 _ 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1A No Basement Fixtures? ❑ Yes ig No
Type of Wastewater System" k5 t (Initial) Wastewater Flow L, 3 GIRD
(See note below, if applicable)7)
-~d f,..,, 5~~ cry (Repair)
Inst~0 Requites
Septic Tank Size [ :3; a j gallons
Pump Tank Size gallons
Pump Requirements: fL TDH vs.
Conditions:
c
Trench Spacing. Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
"ff applicable: / understand the ryJtem type rpeci fed is different from the type .rpecr>ied on the 7pplic3t1on_ / accept the (pecilcamfli of thrt permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revnntinn if the vu nlan ntot nr rho inrnnAnA oen rh,n- The f ,.6 . a•..u... -..~-u c_ .__J___~
of the site. This Construction Authorizati 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 ACHED SIITE SRI:TCF1
Authorized State Agent: Date: J) l7 Kv~ 1 O 2 -11- D 6
4 t 3
Construction Authorization Expiration Date:L) j a 013 OZ-1
-;i '1J
Exact length of each trench AX _ feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 11 dt inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
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HTE # Q~ J Q, - I 0 F, ~ Permit #
Harnett County I epartinent of hiblic Health
Sitki Sketch
PROPERTY LOCATON: 112 F
ISSUED T0: CAA"/shc 5) L-r4\t~ SUBDtYISION ro Lc) i j LOT #
Authorized State Agent Date: 'c~ y ► 1 S- 5~ `1
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