IPAC RNTE#- 15)'5-0/2
Harnett County Department of Public Health 23598
Improvement Permit
A building permit cannot be issued with only a mprovement Permi
ISSUED TO: 0PROPERTY LOn~L :
SUBDIVISION NEW R`P
AIR ❑ EXPANSION El LOT #
Type of Structure: F - X fpi{ _ Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: ts~
Projected Daily flow: 1ao GPD
Number of bedrooms: ,►vFx Number of Occupants: ___~D_ _max
Basement ❑Yes XNo ' ,,rr
Pump Required: ❑Yes ❑ No ;tom May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Publi ❑ Well Distance from well d0 11 Permit conditions: -et feet Pe valid for. `®''Five years
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fy) LA ESTu Q uM r~
c ~r ~cr t El 1 ys~ Q h No expiration
Authorized State Agent::
Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the HeSith 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, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be
installed in accord a with the attached system layout.
ISSUED T0: GPP, LL r (t, ~t~~ ~ f PROPERTY LOCATION: bcl
c
Facility Type:- 2 SUBDIVISION .moo f~ i,~ ( (1 s LOT # 3'2-
New ❑ Expansion ❑ Repair
Basements ❑ Yes 1>4- No Basement Fixtures? ❑ Yes 64~No
Type of Wastewater System*" I 11~'/, (2# d t ,
(See note below, if applicable llnitial)
1QQ .4 ANA (Repair)
Installztion Requiretnen~/Conditions
Septic Tank Size 03 p gallons
Pump Tank Size ____,___gallons
Wastewater flow: GpD
Exact length of each trench )DO feet
Trenches shall 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. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
_ _ _ inches below pipe
Aggregate Depth: inches above pipe
inches total
`*If applicable / understand the rystem type specified is different from the type fpecifed on the application. / accept the speci6cationr of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization sfiall not beDtaansfeved when there is a change in ownership
of the site. This fonstru<tion 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.
Authorized State Agent: ch fl SEE ATTACHED SfTE SKETCH
Construction Authorization Expiration Date: Q\ - 7~1
NTE# -Y00- /j'
Permit # 351 x'
ffilMett Connty Department of MIb11c Health
Site Sketch
ISSUED TO: (1Q~ PROPERTY LOCATON: DJ Cc
s SUBDIVISION a~ ( l /I ~ LOT # 3 z
Authorized State Agent: " Hf p
Date: g - ~ I - a~
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