IPACHTE# J-- ~L3T-5'5 Harnett County Department of Public Health 2 5 8 4 7
Improvement Permit
A building permit cannot be issued with only an 1 rovem nt Per jt
/ PROPERTY LOCATIO :
ISSUED TOO-
SUBDIVISION cYCia LOT # l~
NEW L
7
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Author
ization Issuance:
Type of Structure:
F U Sat 3Y/
Proposed Wastewater System Type: ~
6't Vc---k It c., -~k
Projected Daily Flow:
-3460
GPD
Number of bedrooms:
3
Number of Occupants: max
Basement ❑Yes
Act
Pump Required: ❑Yes
❑ No
Ma
12 be required based on final location and elevations of facilities
Type of Water Supply:
El Community
Public ❑ Well Distance from well feet Permit valid for
4~Flve years
Permit conditions:
❑ No expiration
Authorized State Agenr.:.co Date:f /Gld~fG SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth Department i no ay 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, .1957, .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:. -
SUBDIVISION LOT # 7
Facility Type: 52/ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? C~ es ❑ No
Type of Wastewater System" ~ c It t L4-" ea (Initial) Wastewater Flow: 5C>O GIRD
(See note below, if applicable
~ .7A Li t-~--~` Q-t ----Q (Ranairl
Installation Requirements/Conditions
Septic Tank Size _Z030 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Number of trenches
Exact length of each trench feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. cr inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
c3 •~rtJ° ~~~~cl
c~ c r
IV - co^V /)Cs--f- C
Trench Spacing: 9 Feet on Center
Soil Cover: fat-/~ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: rd _ inches above pipe
r 12 inches total
*If applicable: /under land the system type specified is different from the type specified on the application. / accept the specipcations 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 Authmizadon shall not ha trmfnrrnd what th- rt a A- -h,~ ,.f ho a T6;.
Construction Authorization is subject to compliance with the provisions of the Jaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Ll
Authorized State Agent: r4/ Date: G C 1/ 0
Construction Authorization Expiration Date: 5 f 2
H T E # 0J Permit # oZ~~~7
Harnett County Department of nimic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: A~
<
SUBDIVISION
r~Q LOT #
Authorized State Agent:
X711
Date:
1
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DqutnW Division of ~ PAMM and Natural Raounaea
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SOIIJSITL RVALUATION File P
for ON-SITi WASTLWATU SYSTLM Code:
Owner: App
Address p~ mad: 0°e J
Dedp Flow
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