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HTE# tS-Harnett County Department of Public Health 2 4 4 4 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n_ PROPERTY LOCATION:.5 1
ISSUED T0:/~7JGt/ l3tt.Gl.e SUBDIVISION LOT # _15'
NEW 2' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~t
Proposed Wastewater System Type: ZSe?~afl~a~riG12
Projected Daily Flow:. 3100 GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No fd_Maa required based on Final location and elevations of facilities
Type of Water Supply: ❑ Community tQ Public ❑ Well Distance from well feet Permit valid for. ive years
Permit conditions: ❑ No expiration
Authorized Stare Ag Date: Z - 25 'O f j SEE ATTACHED SffE SNfTCN
The issuance of this per the Health Department in no way guarantees the issuance of other permits, The permit holder is responsible for checking with appropriate goveming 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 Permiio
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .19S6, .1951, AM. 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 T0: S7'i1r►ct/ ,Qyll/c.cc i'suG PROPERTY LOCATION:
~yZ/~/S/6'f~i'7c1.Jsf2d
SUBDIVISION IfzsGrr,t,~,ctf? LOT #
Facility Type: :5 0 New ❑ Fxnansinn I-l Ramir
Basement? ❑ Yes No Basement fixtures ❑ Yes No
Type of Wastewater System" ZS"/afZ~-(Initial) Wastewater Flow- 34o GPD
(See note below, if applicable
(Repair)
Inst Itegnindtsefrts/Ctxldi6an
2 It
Septic Tank Size X
IQ 00 gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall he installed on contour at a
Maximum Trench Depth aE Z,- 2/ 0 inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements. ft TDH vs. GPM
Conditions:
Trench Spacing-, F feet on Center
Soil Cover e~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
G inches below pipe
2- inches above pipe
/ Z inches total
"If applicable: / undeatand the system type specified ii di/Ierent from the type specified on the app/icabon. / accept the IpecificadenJ of thin 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 -,s a change in ownership
of the site. This Construction Authorization 4 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 Ag Date:
Constructio~
n Authorization Expjratjon Date:
HTE# U? - s- M'7s G Permit # ZyyYO
Harnett County I epailment of Miblic Health
Sit ►'ketch
PROPERTY LOCATON;, /YVg /file S iZ~
ISSUED TO: 5711cIGC//3r1 (yeS 1Ak, SUBDIVISION /fir /it,-I • LOT # S
Authorized State Agens~ Date:
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