IPAC RNTE#6C, -t;- Harnett County Department of Public Health 2 5 7 2 g
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~ •
ISSUED TOy SUNG ~~Z~j~SUBDIVISION LOT #
NEW C~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~.J
Proposed Wastewater System Type: 65U 46'iXh ru,)
Projected Daily Flow: 3lofl GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes 2 No ~
Pump Required: ❑Yes ❑ No 2 Maarbe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Lv Public El Well Distance from well feet Permit valid for: L/ Five years
Permit conditions: ❑ No expiration
Authorized State Ager-~ Date: 3 t o f y SEE ATTACHED SITE SKETCH
The issuance of this permit by t alt' Department io 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 site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change io 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 T0: PROPERTY LOMz~- 3~" r
1 SUBDIVISION LOT #
Facility Type: 5Fb E New Expansion ❑ Repair
Basement? ❑ Yes N0 Basement Fixtures? ❑ Yes a No
Type of Wastewater System** (Initial) Wastewater Flow: 3(,, c GPD
(See note below, if applicable
ZZ 105A(ZQ Z'y _(Repair)
Installation Requirements/Conditions Number of tenches q
Septic Tank Size l Qo 0 gallons Exact length of each trench 96 feet Trench Spacing: _ feet on Center
Pump Tank Size
Pump Requirements: ft. TDH vs.
Conditions:
GPM
Aggregate Depth:
inches below pipe
inches above pipe
/Z. inches total
If applicable: /understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authonzation is subject to revocation if the site plan, plat, or the intended use changes. The eonstructon Aut'onzation shall not be transferred when there is a change in ownership of the site. This
~moaouiou nuuwuzauun is suolect to complance with the provisions of the Laws and Rules for Sewage Treatment and Dknnol and m t6 r-dat- m .6{, „e Crr ATTArurn OTC ev[Tru
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Authorized State Age Date: '3 -t o - t o
Construction Authorization Expiration Date: - - t - t 5
_ gallons Trenches shall be installed on contour t a Soil Cover: inches
Maximum Trench Depth of. 1;5 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions) 2` 4l3 -3&J) q C
HTE# Permit #
o2~~oZ
Harnett (county Department of F' blic Health
Site Sketch
PROPERTY LOCATON: uj
ISSUED T0: Sco~,4yag /rangy SUBDIVISION LOT #
Authorized State Age Date: 3 - w -/0
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