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Harnett County Department of Public Health 2 5 8 2 8
hDrovement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION:
ISSUED TO ~-r J y~ ~dc i7er~, SUBDIVISION _ K~~ ca F~ r-t LOT
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S t
Proposed Wastewater System Type: C(~_N Ay'e 1 -tit
Projected Daily Flow: ~ y GPD
Number of bedrooms: Number of Occupants: k. max
Basement ❑Yes Clio
Pump Required: ❑Yes L No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: ef"Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ot_4 Date: 21,1 L i(2-Q f0 SEE ATTACHED SITE SKETCH
The issuance of this permit 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
site is subject to revocation it 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, .1959. 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: J\ /4ALV PROPERTY LOCATION:
SUBDIVISION k~ Fes! r1J' LOT #
Facility Type: 'Y D New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixture ? ❑ Yes ❑ No
Type of Wastewater System** Co'€,JctA7 opt (Initial) Wastewater Flow: 5 Q~' ) GPD
(See note below, if applicable
Cc,.1VC-t~ It (Repair)
Installation Re uirements/Conditions Number of trenches _L9_
Septic Tank Size _ 000 _ gallons Exact length of each trench :7 5'_ feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: Z6 JL inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Trench Spacing: ii Feet on Center
Soil Cover: G-/6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pip(
f inches total
**If applicable: / understand the system type specified is different from the type spec111ed on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
nn ~ou~uuiuuu nuuwniauun a wufeu to revocaton it me site plan, plat, or the Intended use changes. the lonstruction Authorization shall not be transferred when there is a change in ownership of the site. This
Lonstrucnon 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 Agen c~ t Date: 2- /Z6- 10, C/ Q
Construction Authorization Expiration Date: 2 -J-
Pump Requirements: ft. TDH vs. GPM
HTE# fd-5-~-837/8 Permit #
Harnett Comity Department of Public Health
Site Slketch
PROPERTY LOCATON: r~
ISSUED T0: car ~n~ Fke SUBDIVISION o LOT
Authorized State Agent Date: 2 o2 003
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SOOJSPTL EVALUATION File:
fOr 0N-SITE WASTEWATICR SYSTIM Code:
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