IPACHTE# -500-~)yb& " Harnett County Department of Public Health 2 5 5 2 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: Ark
Y ~~tfS (544WA i; . bk PROPER
BDIYSION CATION o NEW ❑ EPAIR El EXPANSION LOT #
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ex 3 2 "A A-- xf4e'-
Proposed Wastewater System Type: ful , exit-w C---J Projected Daily flow: ie3 GPD
Number of bedrooms: A Number of Occupants: max
Basement ❑Yes ~-No
Pump Required:';64s ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ';9- Public ❑ Well Distance from well feet
PP conditions: Pit c'kA ( -r5 Qys X vl 't's Cc C'3/) L Per/mit v d for. Give years
en,,/ ~1~81dt 7 s. X A- T7_ Y_
❑ No expiration
Authorized State Agent:: r S Date: 6 20 (Z~
SEE ATTACHED SITE SKETCH
The issuance of this permit by the H Ith 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 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: &1%Ar- US AUI, PROPERTY LOCATION: 13 Y'
lidd SUBDIVISION LOT # T 2A
Facility Type:&rtt.. 7_ M Qrf~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No P Basement Fixtures? ❑ Yes `K 0
Type of Wastewater System** LZf
(Initial) Wastewater Flow:_ GPD
(See note below, if applicable
P~ -_(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons t~3 Exact length of each trench 10n feet Trench Spacing: Feet on Center
Pump Tank Size t~ gallons l-')3-> Trenches shali be installed on contour at a Soil Cover
inches
Maximum Trench Depth of. _ 1 S-aY inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: 2 inches above pipe
Z inches total
'If applicable: / underrtand the r,,v fte in type rpeci'ed it different from the type foeclfed on the application. / accept the rpeclll'n ionr of thin permit
Owner/Legal Representative Signature:
This Construction Authorzation is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when theeeis 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 Agent: Date: Ilk D6 ~ ~D-D
Construction Authorization Expiration Date: 6 '~3-
HTE# 10'9bQ- oN 6 G~
Permit # dJSo) ~
Harnett CountyDepartment of h blic Health
Site Sketch.
Stomp PROPERTY LOCATON:
ISSUED T0: SUBDIVISION LOT # Tj ti
Authorized State Agent: t 12 C S Date:
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