IPAC RHTE#_CY Har(Etett County Department of Public Health 2 5 4 3 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:S2/S/„/d
ISSUED T0:A~ kz,✓ 1e i~ SUBDIVISIONLOT #
NEW REPAIR ❑ EXPANSION ❑ Site' Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~'1~
Proposed Wastewater System Type:
Projected Daily Flow: Y86 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No IZ Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ia Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
0 frve years
❑ No expiration
Authorized State Ag : Date: _ ~ - '71 - Dn SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 taws 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 .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 accordance
with the attached system payout
ISSUED TO: PROPERTY LOCATION: AZIO
SUBDIVISION LOT # 3
Facility Type: New Expansion Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes [?--No
Type of Wastewater System' 27-5t% /W,. c c zlt~ (Initial) Wastewater Flow: 4190 GPD
(See note below, if applicable
2~~~l1U ~✓Dhf4epair)
Installation Requirements/Conditions Number of trenches 5-
Septic Tank Size 14,06 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. -inches
Maximum Trench Depth of: ,10`" inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
Aggregate Depth:
inches below pipe
Z inches above pipe
/Z- inches total
**If applicable: /understand the System type specified it different from the type .rpeciTed an the app/icatian. /accept the specifications a/thir peimif
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 Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State A lflo-bs Date: ~ -Z~ 09 //-?0// 0)
Construction Authorization Expiration Date: 9 -Z/ - Zf
HTE# 01 _ S- ZZ -7 7 3 R Permit #
1Sy33
Harnett ('ountyr Depc'tllent of'iZblic Health
i to ~ v ketch
PROPERTY LOCATON: - /S64 - n e
ISSUED T0: A / E' z~~a,il SUBDIVISION -X LOT # 3
Authorized State Agenj "t-l7
Date: 1-,70 - /a
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