IPAC RHTE# 07-5 =1755 Harnett County Department of Public health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: y /Z~
ISSUED TO: SUBDIVISION f_3 - LOT # f
NEW REPAIR EXPANSION ❑ Site Improvements equired prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: /-a) 010 7i5-
Projected Daily Flow: 366 GPD
Number of bedrooms: Number of Occupants: 67 max
Basement ❑Yes L~'No
Pump Required: gTe-s- ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community la~Public ❑ Well Distance from well feet Permit valid for. I~cl t years
Permit conditions: I~ No expiration
Authorized State Agen ,G'-24.~9~ Date: ~ rt y SEE ATTACHED SITE SKETCH
The issuance of this permit the 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 si a 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 TO:.Sifi~C~/ d L~ ~S PROPERTY LOCATION: /W
SUBDIVISION ~ LOT #
Facility Type: '3 ICJ' New ❑ Expansion El Repair
Basement? El Yes No Basement Fixtures? El Yes lio
Type of Wastewater System**~~U U Z Initial) Wastewater Flow: GPD
(See note below, if applicable
2 ~Cs2'rr1 _ - 1~ ~~Y n (Repair)
Installation Requirements/Conditions
q r
Septic Tank Size 0a0 gallons Exact length of each trench W/0 feet Trench Spacing: Feet on Center
Pump Tank Size !dd ® gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of. 30 - ~ / inches (Maximum soil cover shall not exceed
(french bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Aggregate Depth:
6o inches below pipe
inches above pipe
12- inches total
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specipcations of this permit.
Owner/Legal Representative Signature: Date:
ints t.onstruction Authorization is sunfect to revocation it the site plan, plat, or the intended use changes. the Lonstructton Authorization shall not be transferred when there is 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 Age a~ ~ ,~rfifi2-rt Date: 6~1z - `--"Z-7 -1 Construction Authorization Expiration Date: - -Z7 -j 40
NTE# 07 -5~- 75&4, Permit # -23 9 6 ?
Harnett Department of Y~tblic Health
Site Sketch
PROPERTY LOCATON: SiZ/Ya 3 Calif/--s4 L -jam,,, /4n
ISSUED T0: S%l3+~~~1 i3v~~f>~-~25 ~rJc SUBDIVISION 4 2 -2'l r /C LOT # -5 -3_
Authorized State Age rl i Date: 5-2 7 -
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