IPACHTE#~~- = Harnett County Department of Public Health 2 5 8 4 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~7 h`~s
ISSUED T0: SUBDIVISION ~(S.Zlr~ ~e't LOT #
NEW FK REPAIR ❑ EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 FQ t(~E
Proposed Wastewater System Type: ":CA-` '7" Siry,
,
Projected Daily Flow: ~GQi GPD
Number of bedrooms: -3 Number of Occupants: C max
Basement ❑Ye,~s 40
Pump Required: Offs ❑ No ❑ be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community MaPublic ❑ Well Distance from well feet Permit valid for: 9-Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: - t~ Date: S ala SEE ATTACHED SITE SKETCH
The issuance of this permit by t Wealth 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 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 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: C,, PROPERTY LOCATION: J~ ~ -S-+
SUBDIVISION L,",Qr- kk (cV LOT #
Facility Type: S1 [ ? New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** k41 (Initial) Wastewater Flow: GPD
(See note below, if applicable ~~Repair)
Installation Re uirements/Conditions Number of trenches
Septic Tank Size 0(~!i 3 gallons Exact length of each trench RYL) feet Trench Spacing: feet on Center
Pump Tank Size ld0C gallons Trenches shall be installed on contour at a Soil Cover: C--12 inches
Maximum Trench Depth of: / 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
//lje Aggr,egate De the inches above pipe
Conditions + cs •.n I~.~~~ ~J r~ ems! r~ o S S [n~ c { inches total
cs v~ < . ~v1 , rte - ~"G a I C 1'V_r /-c. A- ,
**If applicable: / aflderfwd the fvstem type specified is different from the type fpeci>red on the application. / accept the fpecifcationf 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 compliance with the provisions of the'aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date;
~ ,~~1' 2c
Construction Authorization Expiration Date: ~ i;' ,
HTE# /0 = 3r7Ei
Harnett County
Permit # dZS Y r-
Dehartment of Public Health
Site Sketch
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Authorized State Agent-
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