IPAC RHTE# QX-,ebb- -IS 4 9- Harnett County Department of Public ~,ealth
or I-,-, hDrovement Permit
24982
A building permit cannot be issued with only a Improvement Permit
PROPERTY LOCATION:
ISSUED T0: W108 L-Drti t-1, SUBDIVISION ~ C , LOT #
NEW ' REPAIR ❑'f`tA 5-3 EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: - - X fz_
Proposed Wastewater System Type: 9d A . -y
Projected Daily Flow: tQ'~ GPD
Number of bedrooms: _-3 Number of Occupants: (r max
Basement ❑Yes y No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water SupPII ❑ Community Pu lic ❑ Well Distance from well `00 _ feet Permit valid for. 19 Five years
Permit conditions. (r ry) 4 n4nt rv Al ~ -Se- f-(~19-( S ❑ No expiration
t- l- U
Authorized State Agent:: r Date: - l7 '3 - 619 'so x' - SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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 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, .195& 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: "OA /J PROPERTY LOCATE IOJI: C ~I
SUBDIVISION 1 tr- 1,1+-- LOT # 7
Facility Type: X TO _ 31Z_ '34 New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~Z No Basement Fixtures? ❑ Yes No
Type of Wastewater System**,~~ 2oc4 --f-tin S_ (Initial) Wastewater Flow:_ GIRD
(See note below, if applicable
(Repair)
Installatjon Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench n2 feet
Pump Tank Size gallons Trenches shall be installed on ontour at a
Maximum Trench Depth of: I i a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. (I inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specihed 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
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 Agent: _ Date: OLQ` 3 3~( 01-07-4
Construction Authorization Expiration Date: L) ! - 0 - ao 0 D<-dq-o?31 V
HTE # g `f Permit # b? ,
Harnett (OuntyDepartment of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: SUBDIVISION « rti c LOT # _
Authorized State Agen . x.11- Date:
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