IPAC RRRHTE# C)(o -4;-- sf zc ZZ,,2 Harnett County Department of Public Health 2 4 4 4 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: / ' y Z
ISSUED T0: + A hEr~5 G, TA SUBDIVISION?-ow roc kN s LOT #
NEW z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: /n 0 rJ U !f-42Z
Proposed Wastewater System Type: Z~~so fL(-6tJGq 0-3
Projected Daily flow: 3&0 GPD
Number of bedrooms: _i Number of Occupants: max
Basement ❑Yes 15 No / _
Pump Required: ❑Yes ❑ No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for five years
Permit conditions: ❑ No expiration
Authorized State Age Date: 1- Y-Ob' SEE ATTACHED SITE SKETCH
The issuance of this permit a 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 provisions of the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
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Construction Authorization
Reoujred for Building Permit
The construction and installation requirements of Rules .1950, 1952, .1954, AM, .1956. .1957, .1958. and .19S9 are incorporated by references into this permit and shall be met. Systems shall be
installed in accordance with the attached system layout.
ISSUED TO: b f 0 /fys-v.a, C16 ';Ocl PROPERTY LOCATION:
SUBDIVISION .70✓' b lc. .t3 LOT #
Facility Type: o t U t 4-"c 0 "'New EVo
xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Type of Wastewater Systems` 7S"°/v /74006 ~ (Initial) Wastewater Flow: 3('0 GPD
(See note below, if applicable
L /7c i> (Repair)
InstaVW Ilet~nn~tttmts/tondibioas
Septic Tank Size / O gallons Exact length of each trench 360 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. G_ inches
Maximum Trench Depth of. 26 - ) J 13 inches (Maximum soil cover shall not exceed
(french bottoms shall be level to +/-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM (0 inches below pipe
Aggregate Depth: 'Z inches above pipe
Conditions: 1 2- inches total
"'U applicable: / understand the system type specited is different Imm the type specified on the application. / accept the speciTcations of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use chances. The [onstruction Authorization shall nnr ho trandorrod wh.n i6ra is 2 A- in mnn.rth n
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 Sl~TtH
Authorized State A t: Date: - O y3
Construction Authorization Expiration Date: 9, Lf - f 3
HTE# 5JoA612t2Q Permit # y~1 V 3
Harnett County Department of Public Health
Site- Sketch
PROPERTY LODUON: y Z
ISSUED T0: b f-/J /f6th / -S il-o Z^DC, SUBDIVISION -7-?) 1.-::- Dt'~ Leafy LOT #
Authorized State Ag "Z'--' Date: o1- ' - y 8
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