IPAC RHTE# /0 S- 23G 01, Harnett County Department of Public Health 2 5 71 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:$g_/ 5516 C7,CZ 3b
ISSUED T tIC,-- S COA-,~ SUBDIVISION F /U LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:t/f
Proposed Wastewater System Type: Z:i °fe tt EYE vca- t tty
Projected Daily Flow: L/ GPD
Number of bedrooms: Number of Occupants: -e max
Basement ❑Yes Ei o
Pump Required: ❑Yes ❑ No L required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L!I Public ❑ Well Distance from well feet
Permit conditions: ('jd'. d7.a..,. 0,-„ 4-11, rat o o _
Permit valid for: 2-five years
❑ No expiration
Authorized State Agen Date: A - 9 - 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, .1951, .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 T0: ~q-,vr~s Co,w~S PROPERTY LOCATION: -V-1'5. -re LIZ /zj
SUBDIVISION J~Rr~t~ LOT #
Facility Type: - 2 New ~❑0 Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E ?No
Type of Wastewater System** ° fZ(5L OU (Initial) Wastewater Flow: 96 Gpp / 1161- (See note below, if applicable
7S;' ~Z~C7~c~z nca~J (Repair)
Installation Requirements/Conditions Number of tre cheb s'~;-
Septic Tank Size 1AL5 n gallons Exact length of each trench 7 O feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 inches
Maximum Trench Depth of: Zqinches (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. TDH vs. GPM inches below pipe
~~JJ / Aggregate Depth: Z inches above pipe
Conditions: l.Vc-U rr c7?~ c~o 12- LYS r-. inches total
**If applicable: /understand the system type rpeci~ed is diNerent /rom the type tpec1/ on the app/ication. /accept the rpecificationr of thi 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 Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State
Date:
Construction Authorization Expiration Date:
-`3 - Jz7
2 ~-t~
HTE# / O - 5" - Z 3(0 0 ~,)Q Permit # c,2 5 7 / y
nCl:'nett County llep~l~tlnent of I'iiblic Heltll
Site Sketch
PROPERTY LOCATON: Z'e ~SSb' ~bG~Zc c C,4,4 124
ISSUED TO: F/1rPr~Ger~ SUBDIVISION AN,J y Cs S LOT #
Authorized State Age Q
Date: Z S - /O
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