IPAC RRRHTE# DT ~Zrj -1-14aq IZK z, Harnett County Department of Public Health 2 5 51 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: f J h cw~ SUBDIVISION
alm-.~3 ~"'3 Qo h k LOT #
NEW. REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: -e~
Type of Structure: 4-7 3 (Z-
Proposed Wastewater System Type-
Projected Daily Flow: L D GPD
Number of bedrooms: - 3 Number of Occupants: max
Basement ❑Yes r-No
Pump Required-~1(es_ ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -51Publi ❑ Well Distance from well feet Permit valid for. five years
Permit conditions. K I c S El No expiration
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Authorized State Agent.: C~ ~t Date: ~ ~ - I N SEE ATTACHED SITE SKETCH
Be
0 F1 issuance of this permit by the, Ith 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, 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: A A (Q &A-c- PROPERTY LOCAT ON:
SUBDIVISION
LOT #
Facility Type:
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Ye
Flo
,
Type of Wastewater System**s
(Initial) Wastewater Flow: GIRD
(See note below, if applicable
115 t (Repair)
Installation Requirements/Conditions Number of trenches
a73
Septic Tank Size 0 0 gallons Exact length of each trench _qjt feet
Trench Spacing: ~ Feet on Center
Pump Tank Size _.1000 gallons Trenches shall be installed on contour at a
Soil Cover. inches
Maximum Trench Depth of- I _ A inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-I14"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions:
inches total
*If applicable: / understand the system type specified fa different from the type specified on the app/ication. / accept the rpec16cationr of this permit.
Owner/Legal Representative Signature: Date:
° r' F- 1^1 _ - --g". u¢ wumutuuu numunzanon snap not De transterrea 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 conditinns of thic nPrmit ur ATTAran UTG WPM
Authorized State Agent: e_~ Date: )iq` ~D
Construction Authorization Expiration Date: Ott S- DO 1 S
HTE# M-~ DO'--)Ti ArZA(L Permit # rn
Harnett County Dep irtrnent of Public Health
Site Sketch
ISSUED T0: ~ ~ PROPERTY LOCATON:
SUBDIVISION LOT # 5~j-
Authorized State Agent: Date:
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