IPACHTE#/~2 -zyz.73 Harnett County Department of Public Health 2 5 7 4 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION -
ISSUED TO: SUBDIVISION S C 6 LOT # .J
NEW 0 REPAIR ❑ EXPANSION R?r Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F S /
Proposed Wastewater System Type: Arj~j LSD 10*tfZh----
Projected Daily Flow: 3610 GPD
Number of bedrooms: Number of Occupants: G max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ M e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community li~ Public ❑ Well Distance from well feet Permit valid for: Ear Five years
Permit conditions: ❑ No expiration
Authorized State SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 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 TO:,~.•--lq~ PROPERTY LOCATION: -5r
S DIVISION r lwS S LOT # S
Facility Type: &Y ❑ New Expansion ❑ Repair
Basement? ❑ Yes No ement Fixtures? ❑ Yes No
Type of Wastewater System** / ~'/Zp,+c~Il , ~~Ze loltial) Wastewater Flow: 360 GPD
(See note below, if applicable _
(Repair) 411:41~
Installation Requirements/Conditions Number of tre es !5X / /V 06 P
Septic Tank Size? By gallons Exact length of each trench 30 r feet Trench Spacing: g Feet on Center
Pump Tank Size X10 gallons Trenches shall be installed on contour at a Soil Cover: inches
1 -
Maximum Trench Depth of: Z V 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
Conditions:
Or
Aggregate Depth:
_e inches below pipe
Z inches above pipe
inches total
**If applicable: l under Land the system type fpeciped it different from the type specired on the application. / accept the specilcationf of this permit
Owner/Legal Representative Signature: Date:
inns consuucuun numonzanon is suolect to revocation it me site plan, plat, or the mtenned use changes. The Lonstruction 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 A Date: y -36 ' /D
Construction Authorization Expiration Date: 30 -/57
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HTE# /D - S-.2 y Z -7 -3 Permit # 2 S -7 q L/
Harnett County Depallment of lublic Health
Site sketch
PROPERTY LOCATON: jy ~ S~
ISSUED T0: L6,,)A-[cc LJ rl ,t' SUBDIVISION a )L-,Qbs LOT # _
Authorized State Age ` Date: 3d - /d
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