IPACHTE#~o- a~l~ t Harnett County Department of Public Health 2 5 9 6 9
Improvement Permit
A building permit cannot be issued with only an I rovemej!t Pe It
PROPERTY LOCATION: Aci K.f-
ISSUED TO: Cc10--fr,r-`t"SUBDIVISION a i-/' cs rri~f LOT # J
NEW C" REPAIR ❑ 1 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: fF0 y ,r2r
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: C max
Basement ❑Yes P"No /
Pump Required: ❑Yes ❑ No ltr a be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. K? ve years
Permit conditions: ❑ No expiration
Authorized State Agent:: 1 e~ a: L~ Date: _ z43/ c 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 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: PROPERTY LOCAT :
c:~ 6C! led
SUBDIVISION C%eQ
A,,,,` LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ~ G~'Je.A. -k :c;.t. 1-~,
(Initial) Wastewater Flow: 3 C O GPD
(See note below, if applicable
A4 ; IU OtIS-
CGA
Ve
-
-
(Repair)
Installation Requirements/Conditions Number of trenches o2
Septic Tank Size OQ Q gallons Exact length of each trench -2J- feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour,~t
a
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Soil Cover: / inches
~
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Maximum Trench Depth of.
~Y inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4' to 36" above the trench bottom)
in all directions) : z
Pump Requirements: ft. TDH vs. GPM
inches below pipe
editions: )c f
l1 w- ( -ner
C3.~~nw c~ ty~' ~c c. r
Ve /c
Aggregate Depth: 2- inches above pipe
inches total
SyI'fe.r,
**If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
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 chance in ownershin of the uta Thic
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 permi SEE ATTACHED SITE SKETCH
Authorized State Agent C16
Date:
Construction Authorization Expiration Date: oZ~ dL~/f"
HTE# /C-r- l Permit # ar9
narnett County Deparbnent of Public Health
Site Sketch
PROPERTY LOCATON: A0f
ISSUED TO: ~ 11 it SUBDIVISION T rl LOT # 3
c
Authorized State Agent: Date:
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