IPACHTE# /O - S- 23,2 t7 (v sa3 Harnett County Department of Public Health 25721
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:XZ IYO -7
ISSUED r
<"-L+ l~~~r" I SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: s /:13 -r-MX--_a
Proposed Wastewater System Type: Z 5% /Z r^ f) U 0141-~ .S,
Projected Daily Flow: 3 ie p Gpp
Number of bedrooms: Number of Occupants: -max
Basement ❑Yes ❑'No
Pump Required: ❑Yes ❑ No Id !aaoe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 1Z Public ❑ Well Distance from well 2
Permit conditions: feet Permit valid for. I~ Five years
❑ No expiration
Authorized State Age
Date: _ z -zL - ~o SEE ATTACHED SITE SKETCH
The issuance of this peit b e Health 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
is subject to revocatirmon i the site plan, plat
site i , 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, .1 952, .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: ~r, L~ . ,O i3 e PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: New ' Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 2 No
Type of Wastewater System" / 9-66yg-24 J .5e_,5
(See note below, if applicable (Initial) Wastewater Flow: 3(oC~ GPD
RA41 2ct Qi -(Repair)
Installation Requirements/Conditions Number, o enches Z
Septic Tank Size /000 gallons Exact length of each trench !Ld feet Trench S acin
Pum Tank Size P g Feet on Center
p gallons Trenches shall be installed on contour at a Soil Cover jnches
Maximum Trench Depth-of. 21/_ - ids- (Maximum soil-cover shalt not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: Z inches above pipe
f Z inches total
If applicable: / uoderrtand the sy tem type specified is different from the type specified on the app/ication. / accept the .rpecificationr of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocaton if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when Dee 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 A t:
Date: _ Z - ZL -/d
Z~l Construction Authorization Expiration Date: ? -Z_-Z_
HTE#
Permit # 2 5-7Z
Hal ne t County I)epartmen-t of 1-l blic Health
ite ketch
PROPERTY OCATON:~ ~!Y6 7
ISSUED T0: SUB (VISION LOT #
Authorized State Ag Date: Z-LZ /0
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