IPAC RHTE# ~~-1u2 Harnett County Department of Public Health 2 4 5 2 4
Improvement Permit
A building permit cannot be issued with only an Improvem rat Permit
PROPERTY LOCATION: t ~aN 5 Pip
ISSUED TO: SUBDIVISION LOT #
NEW'X REPAIR ❑ EXPANSION ❑
Type of Structure: 5v--9 ~`s5 %c' i 1
Proposed Wastewater System Type: C o.~~^rc sa~p+~
Projected Daily Flow: D _ GPD
Number of bedrooms: Number of Occupants:
Basement ❑Yes A< No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No ~ May 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 Sate Agent: Q5 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarante fw issuance of other permits. The permi 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 .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 layout.
ISSUED TO: 9~ -.i-y t _ PROPERTY LOCATION: ~s~p+N ~do~tz~ ~o
SCO I SUBDIVISION
Facility Type: f ^15/ X) ~K New ❑
Basement? ❑ Yes ~A No Basement fixtures? ❑ Yes ~No
Type of Wastewater System" Co,-4c3ratP•~ (Initial)
(See note below if applicable
Expansion ❑ Repair
Wastewater flow. yid GPO
LOT #
C'° `r r~rr.,n a A~ (Repair)
InsWWW RNuirawttts/Couditim
Septic Tank Size s esbCD 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 (over. C- I,), inches
Maximum Trench Depth of: s $-'a- Jj inches (Maximum soil cover shall not exceed
(french bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: 2 inches above pipe
inches total
"'If applicable: l Undew,?nd the system type speciled is different from the type specified on the application. l accept the specifications of thzf permit.
Owner/Legal Representative Signature: Date:
it- u.," "u " wutru <u ie.oi n n toe 1. an, prat or me mtenaea use cnanges. the construction nutnonutson shall not be transferred when there is a change in ownership
of the site. This Construction Authorization is su o nce the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKU01
Authorized State Agent: <ZS Date: '1 f3 68
Construe Authorization Expiration Date: Y3 6,g
HTE# Permit # `~L+ ~
Harnett County I epailment of hiblic Health
Site Sketch
PROPERTY LOCATON: I Ta~ R~DE~tC_5
ISSUED TO: SUBDIVISION 1 LOT #
Authorized State Agent i~~A , oG tz~ Date: I13 DS
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