IPAC (2)HTE# /v -5"-zyZs 5
Harnett County Department of Public Health 2 6 0 8 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:X/y/L C~
ISSUED TO-
J
L
SUBDIVISION F~~ f- i iL sl g
NEW ~Z
IV
LOT # /07
REPAIR ❑
EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
l
Proposed Wastewater System Type:
'~'uJrt
Projected Daily Flow:
340
GPD
Number of bedrooms:
-3
Number of Occupants:
max
Basement ❑Yes
I? No
Pump Required: ❑Yes
Type of Water Supply:
❑ No
❑ Community
Mae required based on
L'? Public ❑ Well
final location and elevations of facilities
Distance from w
ll f
e
eet
Permit valid for:
5~ five
ears
Permit conditions:
y
❑ No expiration
Authorized State Age Date: `TrZ~ - ro SEE ATTACHED SITE SKETCH
The issuance of this permit by a Health 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 Co revocation i 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 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, .19% 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: C j iv • - ZA PROPERTY LOCATION: /z//Z
_ SUBDIVISION r r^.r,~-~ l LOT # /6 -7
Facility Type: 6 New ❑ EE ansion ❑ Repair
Basement? ❑ Yes No Basement Fix ures? ❑ es EA
Type of Wastewater System' - (Initial) Wastewater Flow: 3Ca0 GPD
(See note below, if applicable
i! (Repair)
Installation Requirements/Conditions Number o(trenches /
Septic Tank Size /O gallons Exact length of each trench yo c) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: Zn -~!g inches
(Trench bottoms shall be level to +1-114"
in all directions)
GPM
Trench Spacing:_ Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
z inches above pipe
~z inches total
**If applicable: /under understand the fyftem type 1 Cfled if different from the type fpeci6ed on the app/ication. / accept the speciflwionr of thif 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 Authonzation 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 Ag~it: Date: ~-20-/0
Construction Authorization Expiration Date:
HTE# f0 Permit # 2&096
Ha nett County 1)epailment of ll~iblic Health
ite sketch
9 PROPERTY LOCATON: / - -
ISSUED TO: SUBDIVISION -
LOT #
Authorized State Ag • Date: 2--26- 16
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