IPACHTE# /C-s= e,3 ? Z 3
Harnett County Department of Public Health
2 5 8 2 4
Improvement Permit
A building permit cannot be issued with only an Improvement Perm}}
I
PROPERTY LOCATION: ~ m/,
SSUED TO
SUBDIVISION 1 j ~z,
c-
LOT # /'4
NEW I/
.
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Autho
rization Issuance:
Type of Structure:
F
Proposed Wastewater System T pe: C O.-t(f~~
Projected Daily Flow:
_
GPD
Number of bedrooms:
B
❑
.3
'
-
Number of Occupants: max
asement
Yes
No
Pump Required: ❑Yes
❑ No
f~M be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
Public ❑ Well Distance from well feet Permit valid for
e Live years
Permit conditions:
❑ No ex
iration
p
Authorized State Agent:: Date: ~r& ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by a th Department in now 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: PROPERTY LOCATION: ~
e'-' lei.
SUBDIVISION
Facility Type: P~ New ❑ Expansion Repair
LOT # L_
Basement? ❑ Yes No Basement Fixtur s? ❑ Yes ❑ No
Type of Wastewater Systerri C,a titfe't+,0't J_
(Initial) Wastewater Flow:( ~ GIRD
(See note below, if applicable j
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lQ
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Q 4t 1
Gc36
lt
-
tr
1_ (Repair)
Installation Requirements/Conditions Number of trenches O/Vv -
Septic Tank Size _Zp~p gallons Exact length of each trench -73'_J_0 feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a
Soil Cover inches
Maximum Trench Depth of: , 3 /8 inches
(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
~-~cr`.irr a.* ~ 3 ~ ,c~~e Aggregate Depth: oZ inches above pipe
Conditions. s f4 r.s",{
~~L~cd- ~~.°sc1' ~.u./' a.. ~~.5~- T✓~cirti.. ~ K~_ ~ ~ ZZ inches total
If applicable: / undecrtand the system type specified it different from the type specified on the app/ication. /accept the specifications 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 compli ce 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 Agen> , "4/( ti A_f Date: G/u
Construction Authorization Expiration Date: ,Y:v 9 r
HTE# 23 -7 Z-7 Permit # Z ~6- F~Z y
Harnett (county Department of -Mtblic Health
Site Sketch
PROPERTY LOCATON: / •
ISSUED T0: SUBDIVISION f % ~ce<+ rBla c~ LOT #
Authorized State Agent: c Date: /I
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PMpaty DOn-Site Wasttwdw Secten Lot t
S011A 9 &VALUATION Fie P
ror ON snit WASTLWATZR SYgTIM Code:
Owns. Applicant:
DW Ev&W"- 1/ 7 /1
Addrm-adw. Lv oFf Site: PeO p
e tp~Ra jet Plamo size:
loftdod p Pit p Well
cut p saw D ahw
Type °f Boring p
Waaewaser: sewage p Nuorisi Ploaae iboed
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1941
PROPII~ FACTORS
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