IPAC RRRHTE#_N _I)9 (Z Hardest County Department of Public health 2 4 7 5 2
9 19!i Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
~41~k~ PROPERTY LOCATION: I S 7 5'
ISSUED T0: (.S S t SUBDIVISION F3Mr)-7 ~~k s LOT #
NEW ~4- REPAIR ❑ EXPANSION ❑ Site mprovements required prior to Construction Authorization Issuance:
Type of Structure: F0 - 14 g)4 - !t_ 7, (32 pn 3-a
15 Proposed Wastewater System Ty e: a d.
Projected Daily Flow- GPD 36,3
Number of bedrooms: Number of Occupants: max
Basement ❑Yes '34, No
Pump Required"
❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community JZ Public Well Distance from well ` J feet
Permit conditions: 'M-CL-n
Permit valid for: Five years
l~ ❑ No expiration
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Authorized State Agent:: S- Date: 2 -4 -OJ7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for ch king 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, AS& 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: PROPERTY LOCATION: 1I yr-
SUBDIVISION F?Ite ) r OP k~ LOT # I'i t
Facility Type: r~ 8 y K .New ❑ Expansion ❑ Repair
Basement? ❑ Yes --Z No Basement Fixtures? ❑ Yes ~4410
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if appli(able) n
d SJI~ ! W --L,, ~ Y (Repair)
Installation Requirements/Conditions Number of trenches J83
Septic Tank Size 1020_ gallons Exact length of each trench feet
Pump Tank Size -/00 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 19 J q-- 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: L 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 specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
um LUMUM wu wumunzawrn is suDfect to revocaoon it me site plan, plat, or me intended use changes. the lonstruction 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
I
Authorized SDate: C~ a O a - 6
01
Construction Authorization Expiration Date: ( c{ , ~_09~13 0 '-t ~a`t-gc~ 14
HTE# Permit # Z
Harnett County Department of M-tblic Health
Site Sketch
PROPERTY LO(ATON: 2
ISSUED T0: Cp~V~yw) ~ SUBDIVISION ~(ZQ) 7 D p LOT #
Authorized State Agent: Date: ID If
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