IPAC RHTE# /a-~ zszy9 R Harnett County Department of Public Health 2 6 0 8 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED i0: PROPERTY LOCATION:-V1 /Z.7711- SOBDIYISION C- j~
LOT # _ / 7
NEW ❑ REPAIR ❑ E ANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: _L'.l yc:,t}
Projected Daily flow: -&6 > 4,0 GPD
Number of bedrooms: L Number of Occupants: max
Basement ❑Yes NNo
Pump Required: ❑Yes Ld No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit conditions: Permit valid for. El No years
X7 7. 0r_ ❑ No expiration
Authorized State Agent Date: v!U - ~p
The issuance of this permit 4eAe Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governingSbodiesA inAm eHED tin Stheir regETCments. 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 T0: v PROPERTY LOCATION:l
Facility Type: fit} S DIVISION LOT # y7
❑ New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes No
Type of Wastewater System' 'rT1 ve,,t L, i2o44 (Initial) Wastewater Flow: `106 GPD
(See note below, if applicable
Z5°, tZ-r'- L) &no-,3 Z' S (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size rx 1066 gallons Exact length of each trench 5"b feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 1 0 X nc
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Y Feet on Center
Soil Cover. <a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
(O inches below pipe
Aggregate Depth: Z inches above pipe
^lla.~>r- /Z inches total
If applicable: /understand the system type specified i1 different from the type specified on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature:
This Construction Authonzation is subject to revocaton if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there theis 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 Ag
Date:
Construction Authorization Expiration
UV 8 -/0
Date: ZO - - / s'-
NTE# Permit # 2-bo '
Harnett Coilnty Department of Viblic Health
Site 'S' ketch
PROPERTY IO(ATON Z~ -,&L ,
ISSUED T0: !~I %14 S o l(f I SUBDIVISION
LOT # _q2
Authorized State Age t:
Date: /0-,B - !b
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