IPAC RRHTE# 07 N ' oll t29 Harnett County Department of Public ticalth 2 4 6 5 3
Improvement Permit
A building permit cannot be issued with only an,lmprovement Permit
PROPERTY LOCATION 2
ISSUED TO: I t l 'iNj+ SUBDIVISION 1~ 2C ice! / LOT # 2 a i
NEW' REPAIR EXPANSIO ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: f:DD - , - (3(L-
Proposed Wastewater System Ty e: 2 0.. (ZOA
Projected Daily Flow: ~0 GPD
Number of bedrooms: r Number of Occupants: max
Basement ❑Yes 'Z No
Pump Required: ❑Yes ❑ No 5X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community J-4-P blic ❑ Well Dis ante from well feet Permit valid for. Five years
Pg it conditions: M~ :ns (Y~(~ t=ro e k ❑ No expiration
n n.1 f3 .;I_ ► _
Authorized State Agent : A (Z~
Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by th ealth Department in no war 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
Reauired 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 T0:_~_ PROPERTY LOCATION ~12
SUBDIVISION ~c) 7 O ta ) LOT #
Facility Type: S Q° X~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Baseme t Fixtures? ❑ Yes No
Type of Wastewater System"* N-ch, -(Initial) Wastewater Flow: _,3 GPD
(See note below, if applicable Lop
InsAtion Bequirements/Conditions
pair)
Septic Tank Size nto o- gallons Exact length of each trench (X onJ feet Trench Spacing:_ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: -t:g 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
""If applicable: /understand the rystem type speciled is different from the type speciCed on the app/ication. / accept the speci6cationr 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 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.
0 SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: - 0 )s
Construction Authorization Expiration Date Q , " - -j
HTE# b'? Permit #ti ILI L E 3
Harriett (,O""ty Iepar-t lle"t of Public HeaIth
Site Sketch
PROPERTY LOCATON: I l~
ISSUED TO: 9 SUBDIVISION 2X37 ~Plzl LOT #
Authorized State Agent
Date:
Stu 6
A t 0 22"-" " c,( ~ cvr
-t.~i~ 1 x ~~s