IPAC (2)HTE#_ /O- S--23 f ri
Harnett County Department of Public health
25951
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -,`.z ~Z4
ISSUED TO: V it SUBDIVISION (~c LOT # f/
NEW REPAIR ❑ r EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: 0(943 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes ZNo--
Pump Required: ❑Yes L No ❑ Ma a required based on final location and elevations of facilities
Type of Water Supply: El Community L Public ❑ Well Distance from well feet Permit valid for. R- -Five years
Permit conditions:
❑ No expiration
Authorized State Agent:_ Date: 2-3 2-0 C 0 SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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,
with the attached system layout.
.1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
ISSUED T0:
C,PROPERTY LOCATION: 1
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Facility Type: 5-'~CiQ
SUBDIVISION % `/r LOT #
P/New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fi
xtures? ❑ Yes 0 No
Type of Wastewater System**
/C<~~~o «1 (Initial) Wastewater Flow: c~ GPD
(See note below, if applicable
y 2~ xatG
(Repair)
~2
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Installation Requirements/Conditions
Number of trenches
~
Septic Tank Size 000 gallons
Exact length of each trench 0 feet Trench Spacing: % Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at P. Soil Cover inches
Maximum Trench Depth of:inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1 /4 " vtv 36" above the trench bottom)
in all directions) l
Pump Requirements: ft. TDH vs. GPM
t3l t
inches below pipe
Aggregate Depth: inches above pipe
QaL s`e-t-- inches total
If applicable: /understand the f'wem type fpeci6ed if different
Owner/legal Representative Signature:
This Construction Authorization is subject to revocation if the site
Construction Authorization is subject to
c~V I
the type fpecilled on the application. / accept the specifications of thif permit.
Date:
plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACPED SITE SKETCH
Authorized State Agent: Date:(o
Construction Authorization Expiration Date: 3 Sao/-r- 15~
HTE# f - ~ 13 85-(
Permit # -Z5,7-r/
Harnett County Deparbuent of Public Health
Site Sketch
PROPERTY LOCATON:<t5
ISSUED T0: SUBDIVISION
LOT #
Authorized State Agent
Date:
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