IPACHTE# Harnett County Department of Public Health
26055
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Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:j4 X76 7 Ni~L6,f;-~siGS ,45-6
ISSUED TO- t'Jk~4e-141,- t3 y if D SUBDIVISION i'w ZJGeK.L~_ LOT #
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 rb
Proposed Wastewater System Type: -Z5%iZ4-tS(} tr'ZAr)~ sc ,,«ce d)
Projected Daily Flow: `/So UPD ~Y
Number of bedrooms:
Basement ❑Yes ❑`No
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Number of Occupants: _.max
f2" Mae required based on final location and elevations of facilities
F1 Public ❑ Well Distance from well feet
Permit valid for: 2 Five years
❑ No expiration
Authorized State Agen Date: G -Z7- -1d SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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 i e 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: PROPERTY LOCATION: V-/7d7
_ / SUBDIVISION -i i oti LOT
Facility Type: _ 2 New ~ Expansion ❑ epair ~ -
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E✓! No
Type of Wastewater System** ZS°lor2r~UcL'ie3)~ 42_ 6fa~&W~ (Initial) Wastewater Flow: GPD
(See note below, if applicable
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 0 gallons Exact length of each trench 7- e) c> feet
Pump Tank Size gallons Trenches shali be installed on contour at a
Maximum Trench Depth of. " inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: s: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
/ L inches total
**If applicable: /understand the rystem type specified is diherent from the type specified on the app/ication. /accept the specifications of fhir permit.
Owner/legal Representative Signature: Date:
nuuwncnumi aud0 nut ue transierrea when mere is a change in ownership of the site. This
lonstru(non 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 K?vor--~~ Date: !5 ` ~ "<2)
Construction Authorization Expiration Date: h --L -7-
0.7 --Z
HTE# /9 Permit # 1?60 5' S-
/q Caine t County Department of A blic Health
Site Sketch
r PROPERTY LOCATON: --,A-i767 A)e.c~~I/yacZS /Lf:l
ISSUED T0: SUBDIVISION ~J LOT # d
Authorized State A en
g t ~ .h.h Date: el - L z -x o
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