IPAC RHTE# Harnett County Department of Public Health 26193
Improvement Permit
A building permit cannot he issued with only an Improve ent Permit
~y PROPERTY LOCATION:.
ISSUED TO,, ;'O-J o..cQ Co c..~ SUBDIVISION LOT # Zy__
NEW Z~-' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _r~r r5 _)C yo
Proposed Wastewater System Type: C~IL U`trt
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes
Pump Required: ❑Yes No ❑ Mae required based on final location and elevations of facilities
Type of Water Supply: El Community ltd` Public ❑ Well Distance from well feet Permit valid for. 'Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: Z V C l~°!d SEE ATTACHED SITE SKETLH
The issuance of this permit by t 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 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 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, .1951, .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:cs- td G~cx~ ~e,tj}cxy PROPERTY LOCATION: o n
SUBDIVISION LOT # 2,
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Y s ❑ No
Type of Wastewater System** C.Q._Lef<_A " (.t 'L (Initial) Wastewater Flow: b GPD
(See note below, if applicable
C c J~A 42, < (Repair)
Installation Re uirements/Co ditions Number of trenches
Septic Tank Size gallons Exact length of each trench J`- feet
Pump Tank Size ✓ gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: /6-1t1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
-Y 11tl1111-al in. A
Trench Spacing: Feet on Center
Soil Cover: 6 - / Ll inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
/ rtggt eg
11,"A _-.i fJ~Jc,i c 4k
Ct1~~Jv
" r r"r'r ~ `r cS ✓ p.Cr 1.
inches below pipe
Depth: inches above pipe
inches total
If applicable: / understand the system type speci(ed it different from the type rpecifred on the app/ication. /accept the rpecif1w1ons oI this 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.
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
9
Authorized State Agent ~ Date: 6 6
Construction Authorization Expiration D ate:G G Zcl-f
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