IPACNTE#/a-5 - z-35-7( Harnett County Department of Public Health 2 5 71 7
Im rovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:.SC /5-~~
ISSUED TO D SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F~.L'C
Proposed Wastewater System Type: v y mss;
Projected Daily Flow. iao PD
Number of bedrooms: Number of Occupants:
Basement ❑Yes No
Pump Required: Lr1Yes ❑ No #~be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community M Public ❑ Well Distance from well feet Permit valid for. Lit Five ears
Permit conditions: Y
❑ No expiration
Authorized State A Date: SEE ATTACHED SITE SKETCH
The issuance of this permit a Health Qepartment in no way guarantees the issuance of other permits. T.
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 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, .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: `i/I PROPERTY LOCATION: --V ~66,~fA
SUBDIVISION LOT #
Facility Type: ElXtxpansion F-1 Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System' u (Initial) Wastewater Flow: y c v GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches hX
Septic Tank Size ldeo gallons Exact length of each trench feet
Pump Tank Size (ao o gallons Trenches shall be installed on contour at a
,IV Fxis~u~
Maximum Trench Depth of ~Ic inches
(Trench bottoms shall be level to +/-1/4"
Pump Requirements: ft. TDN vs.
Conditions:
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
t~ X inches below pipe
p inches above pipe
inches total
If applicable: /understand the system type specified it different from the type specified on the app/ication. /accept the speciCcationr of this 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 ent:
Date: Z -z (a - t n
Construction Authorization Expiration Date: 2-jto -r s
HTE # /b - S- z3 ~s 76 Permit # 2 5 7/ 7
Harnett County I)eptallinent of lltblic Health
liite 'Sketch
PROPERTY LOCATON: 52 C
ISSUED TO: ~J ~lP SUBDIVISION LOT #
Authorized State Age
Date: 2-16-16
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for ON-SIT>< WASTEWATER SYSTEM Code:
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