IPAC RHTE#d7- 5 z&°7R Harnett County Department of Public Health 2 5 7 3 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO SUBDIVISION LOT #
NEW ~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ZS ~'4> 2670
Projected Daily Flow: top GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No 1, ~Me required based on final location and elevations of facilities Type of Water Supply: ❑ Community blic 11 Well Distance from well feet Permit valid for. M Five years
Permit conditions: ❑ No expiration
Authorized State Age Date: - /U SEE ATTACHED SITE SKETCH
The issuance of this permit a Health 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 taws 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: C PROPERTY LOCATION: /q /~+T7CL /j/~
SUBDIVISION LOT #
Facility Type: _ 2 New P' Expansion ❑ Repair
Basement? 0J Yes No Basement Fixtures? El Yes [J No
Type of Wastewater System** Z'M /C'/-=w« (Initial) Wastewater Flow: 34-Z GPD
(See note below, if applicable
05'% 1025hot " (Repair)
Installation Requirements/Conditions Number of trenches Z-
Septic Tank Size Ma gallons Exact length of each trench S6 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. ~o inches
Maximum Trench Depth of: Z8 )/R inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: i Z inches total
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the tpeciflwionr of this permit
Owner/Legal Representative Signature: Date:
-J- n we Mir pidn, plat, or me m[enaea use cnanges. the Lonstrucuon 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 Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag Date: `7t 6- /d
Construction Authorization Expiration Date: Y" "
HTE# C)`7 7Permit # ,2 5 7 3
Harnett County Department of 1'iiblic Health
Site Sketch
PROPERTY LOCATON:
cjW-
/?d6
ISSUED T0: 6r-l /w>/ P44:~ SUBDIVISION LOT #
Authorized State Age Date: y G/ --/0
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