IPACHTE# ~c - Z3 8' W- Harnett County Department of Public Health 2 5 9 5 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:--- 'si. rilk-ru
ISSUED T : YAex C orlS yc `~Ow SUBDIVISION b' t LOT
NEW REPAIR ❑ r EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ce S
Proposed Wastewater System Ty e: pl~V , ec~u~ ~a~1~iJ~et+~
Projected Daily Flow: J GPD
Number of bedrooms: 3 Number of Occupants: L max
Basement ❑Yes No
V es Pump Required: lyYes ❑ No ❑~Maa a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ►L~f Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: ) Date: .7 /U1,0 SEE ATTACHED SITE SKETCH
The issuance of this permit byre rieal D ,Department in guarantees the issuance of otfier permits. The permit holfer 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: QILA PROPERTY 1.0 A N/
1 SUBDIVISION T`ht tN LOT # ~l3
Facility Type: S F IE'I New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System * P
~t,,K,a -fir, 9,5-1, .~~a1~ 4-~ 1 (Initial) Wastewater Flow: GPD
(See note below, if applicable
v~f6 4ir)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench c sr _ feet Trench Spacing:
9 Feet on Center
Pump Tank Size /000 gallons Trenches shall be installed on contour at a Soil Cover. 6 '/e inches
Maximum Trench Depth of. R7 - / 8 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
Aggregate Depth: inches above pipe
Conditions: inches total
ll w ev l nor Nwj f b fQ A"'~ << yJ1'-
*If applicable: /understand the ryrtem type lpecifled it different from the type specified on the app/icmion. / accept the rpecipcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authoriratinn is whia(t to ravnratinn if tho WA Man ntot n, tho A.A A- aTh. r A...A
. i _ _._..p_.. .i..n.n,i~.. nnv„ ~ ,4 a it l¢V in a/nliCl-11' -1 " sl-
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this oermit_ SFF ATTACNFn CITF UFTCN
Authorized State Agent 7~,, Z~ )l Date:
Construction Authorization Expiration Date: - ~ 2 °/,r-
HTE# - ~3 C~ 9;Z
Permit # 02 ~J-u'
Harnett County Dep(ai anent of 1' iblic He,-(dtji
Site S'lietch
PROPERTY LOCATON:
ISSUED T0:
SUBDIVISION
LOT # 1/3
Authorized State Agent
: stn
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Date: C
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