IPAC9
HTE# { o- Harnett County Department of Public Heaith 2 571
Improvement Permit
A building permit cannot be issued with only an Improvem nt Permit
PROPERTY LOCATIO • T.led -
ISSUED TO: ~--'V 4,t CZ~.S SUBDIVISION ~G ,r ,wr LOT #
NEW ffr- REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Cgp~_ .1 F
Projected Daily Flow: 3(Q C) GPD
Number of bedrooms: 3 Number of Occupants: L max
Basement ❑Yes [~4o
Pump Required: ❑Yes 11 No [P M~
ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. e Fjve years
Permit conditions: ❑ No expiration
Authorized State Agent:: r~_ ~-;C - y Date: Sal W 2_cl V SEE ATTACHED SITE SKETCH
The issuance of this permit by the Heal f Department in no wa arantees 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: t/!F A csn..h kl-O` 1~ PROPERTY LOCATI N: b-,AW
SUBDIVISION Do lJe: M f LOT # •2-r
Facility Type: k t @"'New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Ye ❑ No
Type of Wastewater System"* Coat. (Initial) Wastewater Flow ,-?(p GPD
(See note below, if applicable
(Repair)
Installation RequirementsKonditions Number of trenches 2__
Septic Tank Size
/040 gallons Exact length of each trench
-;15- feet
Trench Spacing: 9 Feet on Center
Pump Tank Size
gallons Trenches shall be installed on
contour at a
Soil Cover oZI/ inches
Maximum Trench Depth of: inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be leve
l to +1-114
36" above the trench bottom)
in all directions)
y
Pump Requirements:
ft. TDH vs. GPM
t20
inches below pipe
-
C
0
~
~ /-'J 1"
- t~ -,:k 3
aq
Aggregate Depth:
inches above pipe
o
=
1
.
~
l inches total
f
1
= c A- F o^
r~ •r- o r~~ ! l
If applicable: l understand the system type specified is different from the fpe specified on the application. l accept the specipcations o/thi 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 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
C'
Off l Date: k-- c
-r
Construction Authorization Expiration Date:
0
H T E # Permit # k s~ 7 l
Harnett (bounty Department of -Miblic Health
Site Sketch.
PROPERTY LOCATON: 4-Lj-
ISSUED TO: ~ yA,A a•tS ~ ~ SUBDIVISION - Qc 0, LOT # o,5'-
Authorized State Agent: a~~ . ,&-Ilf Date:
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