IPACHTE#~~-~=~~7~~ Harnett County Department of Public Health 2 5 9 5 6
Improvement Permit
A building permit cannot be issued with only an Improvement Perm}t
PROPERTY LOCATION:
ISSUED T0: C Q'l, ,IcSS ~c j~~Jef-4 e SUBDIVISION {~csd k4+ r LOT # f~f
NEW P~' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F ® ~-l OS
Proposed Wastewater System Type: efedu c et :F 54t"'
Projected Daily Flow: _ (n 0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes-~
Pump Required: ❑Yes LEI No ❑ May e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
le~ Public ❑ Well Distance from well feet
Permit valid for. 0--Five years
Permit conditions:
❑ No expiration
Authorized State Agent::
Date: a~ d SEE ATTACHED SITE SKETCH
The issuance of this permit by th eald Department in no way guarantees the issuance of other permits. The permit hol er is responsible for checking with appropriatgoverning bodies m 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 y, change in ownership of the site. This permit is subject to Co.
' pliance 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:Cosl~ 1~1f PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: L~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes C~No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"* ~~/o 4 VC- .~jJ-4n~ (Initial) Wastewater flow: 7 GPD
(See note below, if applicable
c6l, G-d %3 J1- ~ -(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench go feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. _J9_ ;~q inches
(Trench bottoms shall be level to +/_1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: Xv~i,- dm' e. .1c1 c~. Cow c v tt . A,
i-Z_ r -
~-F
Trench Spacing: 9 Feet on Center
Soil Cover. finches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
,`k inches total
lc3T{.
/ underrtand the system type specified is different lram the type rpeciled on the app11c,7t1on. / accept the tpec1f1c3t1ofls of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat ar 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 taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State
Date: 3 r ~~r
Construction Authorization Expiration Date:
HTE# cZ 3 '7,~'I Permit # ~ Sq 5-- 6
Harnett county Deparfi lent of Ilnw is Health
itp Sketch
PROPERTY LOCATON: f 1~~ -
ISSUED TO: ~Qlf r e- t'f" SUBDIVISION ~r~d Cho. LOT #
Authorized State AgenC: Date:
fc w Ie-
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