IPAC RHTE#~ c70-f~oa{~ Harnett County Department of Public Health 2 4 6 5 2
Im rovement Permit
A building permit cannot be issued with only a improvement Permit
PROPERTY LO(ATION: 2
ISSUED TO: 03 SUBDIVISION <
NEW LOT # as-C
REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `7 x 3 - fi r t-
Proposed Wastewater Sys e Type: 2 d _40
Projected Daily Flow: GPD
Number of bedrooms: _ Number of Occupants: 56' max
Basement ❑Yes JZLNo
Pump Required: Oyes ❑ 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: S_rOA to P lUf~~~~ A~ `;/cO•.~.ct It V_C 0,-- El No expiration
4.. I , .t Authorized State Agent:: 1 5 Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth 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 isto 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 .1958, .1 9S2, .1954, .1955, .1956, .1951, .195& and .1959 are incorporated by references into this permit and shall be met. Systems shall be
installed in accords th the attached system Iayo t.
ISSUED TO: 9 K Can) ~ PROPERTY LOZXCj N: 2 S
SUBDIVISION QA }c ) LOT # 206
Facility Type: m - 5i x T ~ 3(t..
~ ~--Hew ❑ Expansion ❑ Repair
Basement? ❑ Yes * No Basement Fixtures? ❑ Yes -)g No
Type of Wastewater System" _ ZS, /vol. Ssj'_ (Initial) Wastewater flow- Yo J GPD
(See note below, if applicable n /I
Lt~ t I A q A c,-, (Repair)
Inufto Itgniterrrents/tonditiats ~I
Septic Tank Size gallons Exact length of each trench X SJ feet
Pump Tank Size gallons Trenches shall be installed on ontour at a
Maximum Trench Depth of: -I B inches
(french bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench SpacFeet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
"If applicable: l undeatand the system type speeded a different from the type rpeciled on the application. l accept the specilcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is sublett to revocatWn d the SIIe plan. Dial Of the mtended Ise [honor Tho fnn<m,rtinn anrhnd„6~" .6,II I,. ..,..r. ...A ...i._ .L___ _ _r_ .
- 1.111, ,....,V ---p
o 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.
r I SEE ATTACHED SITE SI~TC'H
Authorized State Agent: W Date: _ d 2 .3 y
Construction Authorization Expiration Date: O2 -,A 1 --0? 1~3
- -
HTE# 0? 4~- Wo) 2 Permit # 2-
Harnett County Department of h1blis Health
Site Sketdi
PROPERTY LOUTON: 12 J-
ISSUED TO: SUBDIVISION ~ ft r s n k-5 LOT #
Authorized State Agent Date: a'c~F} X
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