IPAC RHTE# 10-5— 23-70- Harnett County Department of Public Health 25836
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
e PROPERTY LOCATION: /H,.a y a7 tiled
ISSUED TO- � e J o�1 f l SUBDIVISION 7- ,u u e^ Po,.4}e LOT #
NEW 9 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Xry
Proposed Wastewater System Type: 7. 4u :v S r e,
Projected Daily Flow: 3f-0 GPD
Number of bedrooms: — Number of Occupants: G max
Basement []Yes 210
Pump Required: ❑Yes ❑ Nof3 be required based on final location and elevations of facilities
Type of Water Supply: El Community
Community Public ❑ Well Distance from well feet Permit valid for: C'J Five years
Permit conditions: ❑ No expiration
Authorized State Agent: -� C'/ Date: i'c*!o �1 4 /2ot�SEE ATTACHED SITE SKETCH
The issuance of this permit by the altA Department in niw guaramees the issuance al other permits. The permit is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat, a 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 taws 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 instilled in accordance
with the attached system layout
ISSUED T0: k , s t to t JovE$z J La . PROPERTY LOCATION: _ wT!
SUBDIVISION f i a t en o t i c LOT # 14
Facility Type: SF D G(New ❑ Expansion ❑ JRepair
Basement? ❑ Yes K No Basement Fixtures? ❑ Yes ❑ o
Type of Wastewater System" oZlwo Ll-o°L S (Initial) Wastewater Flow: 3(0 0 GPD
(See note below, if applicable ❑)
�2 i-7' 5; rte.-- (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size gallons Exact length of each trench L'V 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: 90 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: h. TON vs. GPM inches below pipe
/ ( Aggregate Depth: inches above pipe
ditions: �QS rti.� 6"'J rj. Cc-AX'J li n." r Qr�a j -
ocJ"a �, —S � c {�c(�n c .{t inches total
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**If applicable: / undezrtand the grtem type fpeciled it different from the type Jpealed on the application. / accept the speaficatiom of this permit
Owner/Legal Representative Signature: Date:
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. )[t AT IALntLI Mit Mt1LA
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Authorized State Agent Date: a 4 2v t�
Construction Authorization Expiration Date: 7 2£/zo Za
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