IPAC RHTE# /0- a247J3 Harnett County Department of Public Healtn 26174
Improvement Permit
A building permit cannot be issued with only an mprovement Permi
/ PROPERTY LOCATION: ~s lw
ISSUED T0: SUBDIVISION .®a LOT # ✓ .7
NEW REPAIR ❑ ® EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Is Z )NO Fllo
Proposed Wastewater System Type: glt'p
Projected Daily flow: _7 C, 6 GPD
Number of bedrooms: v Number of Occupants: max
Basement ❑Yes o
Pump Required: 2fe's ❑ No ❑ May required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: die years
Permit conditions: ❑ No expiration
Authorized State Agent:: c f Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by a Nealth Department in no way guarantees the issuance of other permits. The permit holder is res Bible 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 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, .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 T0: ~y r ~.r"
use ass PROPERTY LOCATION: ~c
Facility Type: a
SUBDIVISION LOT #
I New ❑ Expansion ❑ Repair
Basement? ❑ Yes No P
Basement Fixtures? ❑ Yes ❑ Ko
C
Type of Wastewater System** ,
9
4.1 xec.1 ~ a (Initial) Wastewater Flo ~ GPD
6'
(See note below, if applicable EI)
(Repair)
Installation Requirements/Conditions
Number of trenches 1
Septic Tank Size /0'00 gallons
Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size /cc d gallons
Trenches shall be installed on contour at a Soil Cover: C_ inches
Maximum Trench Depth of. y ' 2-~ 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: ft. TDH vs.
GPM inches below i e
rr
Aggre ate Depth: inches above pipe
Conditions: r~.. b,4-,- 0 01 C"_f`-~ 1 a 1 ~j c inches total
f. 4:..'f Q.
e-~`=st .9..~ (r~RJ /~t~sd e ~r°.1` /G f is e- ss~ ~o' Caen,
**If applicable: l understand the system type rpeci~ed it different from the type .specified on the application. / accept the specifications of thi 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
This
WLLl[IUL0U17 XUflIUM ➢on 6 suofect to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
zc,~ Au thorized State Agent• : Date: y `/J`kd SQd< SkA,
Construction Authorization Expiration Date:4/ Zu~~ cf
H T E # Jam` dZ Permit 1'7
Harnett County Department of Vblic Health
Site Sketch
/
PROPERTY LOCATON:
~ t111, d-
ISSUED T0: t~
_
SUBDIVISION
19 ° LOT # /
Authorized State Agent:
-
Date: 7 ?
r'9p
a
e
9a,
ar-