IPACHTE#0 7"S boy Harnett County Department of Public Health 2 4 4 6 4
Improvement Permit
A building permit cannot be issued with only an (mproovement Permit
Cw\~C PROPERTY LOCATION:
ISSUED To: Lf\n C SUBDIVISION i D h , a C LOT # _22_ "7
NEW- REPAIR ❑ EXPANSION ❑ Site Improvements required
Type of Structure: prior to Construction Authorization Issuance:
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes' No
Pump Required: es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water pply: El Community Public ❑ Well Distance from well _0 _ feet Permit valid for Five years
Permit canditions: -i! 1 ,-4 RA,-k- ❑ No expiration
:5!'-u ,(eta M k,1, C 1Li A X 0 L4" Ir" r) C h t t h(i-L he rz 11~ a Lj,,) Li Authorized State Agent: Qz,, I Date: 0 I ' - Z) ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Neaft Department in no war 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 taws 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, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be
installed in actor a with the attached system layout.
ISSUED TO:A y~ nt S~ L~ PROPERTY LOCATION: I Z S
SUBDIVISION W3 1d r 1't C LOT # 2Z7
Facility Type: S FO - 3 3 & AN } (3 6c' )_KAJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes 5t No Basement Fixtures? ❑ Yes ;Z No
Type of Wastewater System`* Pi~r•.,, ty 2 r i - (initial) Wastewater Flow: GPD
(See note below, if applicable
-_-►--~`4~°~ ti (Repair)
INAWion Requrcetttents/Conditioas
Septic Tank Size coJ gallons Exact length of each trench I Y, I y) feet
Pump Tank Size J 0,;- gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. _1.3 14 inches
(Trench bottoms shall be level to +/-1/4"
in all directions}
Pump Requirements: ft TDH vs. GPM
Conditions:
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
•'It applicable: l anderstand the system type pecified if dih`erent from the type rpecifled on the application, l accept the specif1cations 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 taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
Authorized State Agent: irl Lr~' SEE ATTACHED SITE SKETCH
Date:
Construction Authorization Expiration Date:
HTE # 0 7" J ' I j a `f % Permit # ~ V t Z)
Harnett County Department of i' lblic Health
Site Sketch
PROPERTY LO(ATON:
ISSUED T0: Cra s1 t SJ SUBDIVISION J ► i2 t
LOT # 22 ?
Authorized State Agent Date: (1 1X 0 Y
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