IPAC RRHTE# D6 -s-i6,7-1z/zz / Harnett County Department of Public Health 24417
07-5- /8076/;~/Z Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: ~b lJa / PROPERTY LOCATION: kL! S'S!v />`t`//
SUBDIVISION Ole Z2~r~-~ LOT #
NEW Ci7 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: $~l7
Proposed Wastewater System Type: Z5% 5-b
Projected Daily Flow: Lbw GPD
Number of bedrooms: S' Number of Occupants: 1 max
Basement ❑Yes 0 No
Pump Required: ❑Yes ❑ No U Ma~required based on final location and elevations of facilities
Type of Water Suppl.y,t:{~.O, Community C Public ❑ Well Distance from well feet
Permit conditions: C ana. srrt_ Ln fk &A-7-
Permit valid for. we years
❑ No expiration
Authorized State Ag Date: ZY -OS SEE ATTACHED SITE SKETCH
The issuance of this pe the Health Department in no way guarantees the issuance of other permits. The permit holler is responsible for checking with appropriate governing bodies in meeting
their requirements. This e 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 wbject 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 Perm
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .19Si, .1957, .19Sl. 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: .T /5 A) J /'f PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Tree: -Fib 1Z li~ Newxpansion ❑ Repair
Basement? ❑ Yes 0 No Basement Fixtures? ❑ Yes No
Type of Wastewater System" M_ Initial) Wastewater Flow. 00 GPD
(See note below, if applicable
(Repair)
InstaA~ion IHt~uiranen~/Eo>addias T
Septic Tank Size / ZDO gallons
Pump Tank Size /ZOO gallons
Pump Requirements: ft. TDH vs.
Exact length of ea tren'ch .'Oy feet
Trenches shall be installed on contour at a
Maximum Trench Depth of 2_ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shag not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: C'oy„
OCA7L e~s5t*-cam
inches below pipe
4~q_ inches above pipe
-12- inches total
*"ff a Ii l : l undety4wd the system type rpeciled is different from the type specified on the application. l accept the specifmmlons of this permit
Owner/Legal Representative Signature: Date:
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 Roles for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SKETCH
Authorized State Ag Date: / Z K -O
Construction Authorization Expiration Date: I - 2~ -t 3
O?- S- - / bra 7QjX
HTE# 06 -S - 2/,Z /U Permit # 241'1 7
Harnett County I epailinent of Miblic Health
Site S' ketch
PROPERTY LOCATON: 5,< A~nj ~ leb
ISSUED T0: ETC /JD// SUBDIVISION Fs26srIjeS 42Ze~~ LOT # _
Authorized State A t: Date: f - Z y-d
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