IPAC RHTE# O V-505-~ ~1 i 2 Harildt County Department of Public Health 2 4 9 8 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 11,3 7 -
ISSUED TO: SUBDIVISION 7T7 6l n 0Crc LOT #
NEW-fiq- REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F~ _ - 33(Z 4' ;?8kQ9
Proposed Wastewater System Type: 9~` TS. d2 s°~s (led c~
Projected Daily Flow: 3 (o'er GPD
Number of bedrooms: -3 Number of Occupants: _c~o_max
Basement ❑Yes 7-1140
Pump Required- s ❑ No -,;I~ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well - feet Permit valid for. ~ Five years
Pe t nditions: 4~ ~j~_ "R i ~(1-\?-w A, a I J ~ /~j,}-r•,f~ El No expiration Nc\ <J is h~
Authorized State Agent : es- R S Date: _ 0 ~ _ y `j - 0 03-1-- o 2 E ATTACH SITE SKETCH
The issuance of this permit by 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
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 taws 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, .1956. 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: 7:T-An- 3 cS$) C ~~Z~WN PROPERTY LOCATION:
a9'-'a't SUBDIVISION LOT # 7/
Facility Type: &Z- - New ❑ Expansion ❑ epair
Basement? ❑ Yes No Basement Fixtures? 1 Yes 9'N0
Type of Wastewater System** s--0 on $ ' (Initial) Wastewater Flow: GPD
(See note below, if applicable &A . - ~ 5
-It IApair)
Installation Requirements/Conditions Number of trenches I c}
Septic Tank Size 1a_ gallons Exact length of each trench _ t )63 feet Trench Spacing: I Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: _ Inches
Maximum Trench Depth of. I~ -dY 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:, SJ '7- C~9X~9 e 1332 (3-06.13F Q,t/~~• inches total
**If applicable: /understand the ryrtem type so ecl fied /r different from the type specified an the app/ication. /accept the rpecificationr 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 he rrancfarred when thnro i, a A-- eau -hm nt rho it. Thi,
Lonstruction Authonzatmn 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
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Authorized State Agent: L A[2'~ Date: ~l 3 ~ - -0?l 0 3-0 )
Construction Authorization Expiration Date: 0 - 3 p~~ l v 1-~~ ~cl~
HTE# - "bD
Permit # I ~J
Harnett County Department of Miblic Health
Site Sketch
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PROPERTY LOCATON:
ISSUED T0: ~Fa[1r~~ i ~c ~)c. SUBDIVISION c LOT # 7,7/
Authorized State Agent 9- Date: b I - C) 5 - O V
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