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Harnett County Department of Public Health 29466
Improvement Permit
A building permit cannot be issued with only an Improvement Permit /' c,tb 1"x R-�
PROPERTY LOCATION: 51 P�ctr>r� t�nd5 �I 52 1006
ISSUED, TO:: /S • �IA iz PrOeCt'�`� SUBDIVISION 6;6arA- vie C&5 LOT # 3
NEW Fs REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 6(Z- 5 enc f . 'L e X ct sZ 9
Proposed Wastewater System Type: 2-57/o cigA,,,kZt)n 5;16
Projected Daily Flow: 3Cen GPD
Number of bedrooms: 5of Number of Occupants: _max
Basement []Yes 9140
Pump Required: ❑Yes ❑ Noay equlred based on final location and elevations of facilities
Type of Water Supply: ❑Community ublic ❑ Well Distance from well feet Permit valid for. five years
Permit conditions:
❑ No expiration
Authorized State Agent::SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. 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 pmvisiom of
the laws and Rules for Sewage Treatment and Disposal and m conditions of this permit.
in all directions)
Pump Requirements: h. TDH vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
�O inches below pipe
2 inches above pipe
�— inches total
**If applicable: / undewand the ryrtem type rpeci is different from the type rpecihed on the application. / accept the specifications of 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. This
Comtruction Authorization is
Authorized State
with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date: ey/2s/Zot�
Construction Authorization Expiration Date:
Construction Authorization
(Required for Building Permjtj
The construction and installation requirements of Rules .1950, .1953, .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
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G� .X�•� Amt.
ISSUED T0: 6 Mt,rK Pr(, zr-"
ireR PROPERTY LOCATION: SI [jyCnr1_
tae�od5
Y
� SUBDIVISION � V ce r�1.
.,.ekA LOT # .3
Facility Type: S&L Sr` EG Z'
Xqe CR -New ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Rxnez
-&o Z, iV a s
(Initial) Wastewater Flow: FCG GPD
(See note below, if applicable ❑
}-r,
ZS% - Sas . (Repair)
Installation Requirements/Conditions r
Number of trenches 3
Septic Tank Size 1006 gallons
Exact length of each trench Rn feet
Trench Spacing: q Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. /roar 1 P" inches
Maximum Trench Depth of: 'ZS"- 0'I inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-I/4"
36" above the trench bottom)
in all directions)
Pump Requirements: h. TDH vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
�O inches below pipe
2 inches above pipe
�— inches total
**If applicable: / undewand the ryrtem type rpeci is different from the type rpecihed on the application. / accept the specifications of 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. This
Comtruction Authorization is
Authorized State
with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Date: ey/2s/Zot�
Construction Authorization Expiration Date:
NTE #
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Harnett County Department
Site Sketch
Permit # Z qq 6C
of Public Health
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PROPERTY LOCATON: Al 0u kor,A 1006x5( 5 2 1006
ISSUED TO: S e (11 c rV Prc SUBDIVISIONy,zFord \a 0ads LOT # 3
Authorized State Agent: !lam � Date: 6
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