IPACHTE#Cf) z3 ~ Harnett County Department of Public Health 2 5 71 5
Imorovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
11
ISSUED TO: -4 1 SUBDIVISION ~~~JjtIG J O foss LOT #
NEW ❑ REPAI EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 0*.S t1.1 Y11- 4
Proposed Wastewater System Type: 26'% t2Et~clCS
Projected Daily flow: 360 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No /Ma be required Wed on final location and elevations of facilities
Type of Water Supply: ❑ Community d Public Well Distance from well feet Permit valid for: l 1 Five years
Permit conditions: ton
Authorized State A Date: Z - / 9 - I p SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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 i t e 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 TO: :S/t4aq: 7 -~f a PROPERTY LOCATION:. V /
SUBDIVISION ~D LOT #
Facility Type: Cry St J ❑ New Expansion Repair
Basement? Cl Yes Ei~ No Basement Fixtures? ❑ Yes 9 No
Type of Wastewater System' (Initial) Wastewater Flow: .3G6 GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of tenches Z
Septic Tank Size _1000 gallons Exact length of each trench /S-6 feet Trench Spacing: c1 Feet on Center
Pump Tank Size / Dbt> gallons Trenches shall be installed on contour at a Soil Cover: _ inches
Maximum Trench Depth of. 2`f - > inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to f7-I14" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM 6> inches below pipe
Aggregate Depth: Z- inches above pipe
Conditions: K I;,-_ ( Yh U t 1305- L
inches total
_%I-&J Iti_41- "I _S
If applicable: /under understand the system type specified is different Gom the type specified on the app/icatian. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is suhiect to rPVnratinn if rho cite nhn nht rhP V~ronAoA I to r6-- The r-....... e,..ti ..u _
,„a,,c „ ¢ --Ig' III --uF UI LI" )I IC. Iln)
lonstructon 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 A Date: L - I
Construction Authorization Expiration Date: Z - } - f S
HTE# pY - 5-- Z 33 8N Permit # c,-l S 7 / 6
Harnett County Department of Mtblic Health
Site ketch
PROPERTY LOCATON:
ISSUED TO: Ja ~1 SUBDIVISION ye, a SJ, , LOT # -,Z-
Authorized State Age yre~ e ~e6W Date: Z-'l 9 -l0
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