IPAC RRHTE# O `fi`-s ao~,i q R,~, Harnett nountY Department of Public Hlb~..,th 2 4 5 7 6
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Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: S-f I ql.?
ISSUED TO' oN. ae- are ~T L.1c. SUBDIVISION F-6-cri- T":'Lr LOT # ld
NEW 2 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~Type.:,jProposed Wastewater Syste4o r ~d~
Projected Daily flow: -13~1 GPD
Number of bedrooms: _ 13 Number of Occupants: max
Basement ❑Yes P No
Pump Required: it es ❑ No ❑~Maybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Id' Public ❑ Well Distance from well feet Permit valid for. F--Five years
Permit conditions: ❑ No expiration
Authorized State Agent: ( 4~~cw.,r_ f Date: ~_T s'r2a*r SEE ATTACHED SITE SKETCH
The issuance of this permi the Heal Department in no way guarantees the issuance ,Date:
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting
their requirements. This site is subject to revocation 9 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 ttt~ attached g stem layout.
ISSUED T0: PROPERTY LOCATION: StQ /~(Z
SUBDIVISION Fir Tr-c..l r LOT # /°q
Facility Type: -5-F49 E~' New ❑ Expansion ❑ Repair
Basement? ❑ Yes NoBasement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" enp AS Y Xt L (Initial) Wastewater Flow. -J% a GPD
(See note below, if applicable
jo"n;P t. (Repair)
InsWation Requirements/CoW6ons
Septic Tank Size /ZO gallons Exact length of each trench / X ~3010 feet Trench Spacing
Feet on Center
Pump Tank Size OuO gallons Trenches shall be installed on contour at a Soil (over, L inches
Maximum Trench Depth of: ---./6 - 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
/ A the inches above pipe
Conditions: C to ke- rv,1 oe. Crn{~.,r ~ BSI (~E~L "R {~o,~ C inches total
e v- (Q?_ 6 ti Tv Vc".r; e o.
**If applicable: / anderstand the system type specified is different from the type specified on the app/ication. / accept the specilcationr 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 Authon 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 Agen S Date:
Construction Authorization Expiration Date: ! ° 1-7
NTE# Permit #
Harnett County I epallillent of IlUblic Health
Site Sketch
C PROPERTY LOCATON: 5-;Ie 12 ckr,.s Cd-
ISSUED TO: SUBDIVISION F-'vXl 7"~- b- OT # ZO -Y
Authorized State Agen Date: %r"'dQ.p-
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