IPAC (2)HTE# 09-,5'=dJV6 Harnett County Department 25816
of Public health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: /L C .2?G ~rf
ISSUED TO: 61 cEPAIR ~ 1/' SUBDIVISION LOT #
NEW EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '4ya
Proposed Wastewater System Type: C~ c
Projected Daily Flow: 'Ic Q GPD
Number of bedrooms: 3 Number of Occupants: C max
Basement ❑Yes P10
Pump Required: ❑Yes ❑ No L Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well
Permit conditions: feet Permit valid for. 4°1 Five years
❑ No expiration
Authorized State Agent:: tli Date: l ~J`~ to
The issuance of this permit by the ealth Department in no wa guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing Shit,
e, in AmHED heE egETCments. 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, AS& 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:o
PROPERTY LOCATION: /tC k? C~c
Facility Type: !7 Rl"'New
Basement? ❑ Yes ❑ No Basement Fixtyres? El Yes
Type of Wastewater System" c o,~ifc
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size coo gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions: 'l 4", b~ rvFti
ASV/
r)
LOT #
(Initial) Wastewater Flow:C GPD
Trench Spacing: 9 Feet on Center
Soil Cover 1' / 2- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Number of trenches 3
Exact length of each trench ZOO feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. _ j6'- 2 ` inches
(Trench bottoms shall be level to +/-1/4°
in all directions)
GPM
c/-
Aggregate Depth:
6 <
J4, k- sc f c I
inches below pipe
inches above pipe
inches total
A-- ( !F i`-C~1Ck f` C !loci
/ understand the system type speciled it different from the type speciled on the a)o&,won. / accept the fpecilcwonr of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat or 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 laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Age t• J
Date:
Construction Authorization Expiration Date:
SUBDIVISION
❑ Expansion ❑ Repair
❑ No
HTE # 0, 9 - S =013 1/ Permit # 02 S' GHarnett County -Depailiveut of hiblic Health
Site Sketcli
PROPERTY LOCATON: I C- Z-7 (-f
ISSUED TO: _ Kd ~~-V ~ nom, SUBDIVISION
LOT #
Authorized State Agent:
Date: fc>
a
Q S`c3 ,~.o ~ r