IPAC RRRHTE#0 -5~~-19a93
RRo.
Harnett County Department of Public Health 2 5 3 5 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
~ PROPERTY LOCATION: 1,141
~
ISSUED T0: y ~ Y"e S's SUBDIVISION O)! i)-r DP e,5 LOT # /q 1,
NEW t4 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF - -4~J k S S- 3'3(Z- "'>4,
Proposed Wastewater System Type: 2 15LtA c
Projected Daily Flow: 3 L, GPD G~ ~x
Number of bedrooms: _ Mp'X Number of Occupants: max
Basement ❑Yes J4 No
Pump Required: ❑Yes ❑ No ~Zhlay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 33 feet Permit valid for. S rive years
Permit conditions: ~e on i t I Fa g- t WA ( c S ❑ No expiration
U WMbih €~1\~t„> own{ t kr~
sn it(*vt Die-N t~ f1ti t~ ~,►.C- i n l 1 ~At t ( L Ona
Authorized State Agent.: c,. Date: 02 - b Z)~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the H th 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, .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: f~Uih* Ij C PROPERTY LOCATION: I/2)~ _
SUBDIVISION 7 &-o FMS LOT #
Facility Type: ~p k S 1 di~- New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes < No
Type of Wastewater System' 2-J-1. (Initial) Wastewater Flow: 6 GPD
(See note below, if applicable K /rw7!
j'' l~Zc~ -c~r 1 -5-,j 4sc-, (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size )ODD gallons Exact length of each trench es feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. ( 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 pipe
Aggregate Depth: inches above pipe
Conditions: gr A,^ L,,,Nc) E1,1 ~s~ C') inches total
**If applicable: /understand the fyftem type fpecifed if different from the type fpecided on the application. / accept the ,specifications of this permit
Owner/Legal Representative Signature: Date:
ms constmaion aumonzauon is suDlect to revocation it me 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 laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 02- L(,- 3
Construction Authorization Expiration Date: 0 2-d G, r,) 0
HTE# 60-500-01 i lo?.~3J RRR Permit # ~5?)5L
Harnett County Department of 11~tblic Health
Site ketch
PROPERTY LOCATON: 1)2
1~
ISSUED TO: (?f1-v(yNC J) L-A(-\C f SUBDIVISION /'-70Xr) T C),9 k I LOT # _ j V
Authorized State Agent S Date:
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