IPAC RRHTE# WSDG-a -nW - Harriett County Department of Public -Health 2 5 0 5 g
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C
ISSUED TQ: C ~~E\s SUBDIVISION /t %V St mow" LOT # '3
NE REPAIR ❑ EXPANSION ❑ Siements required prior to Construction Authorization Issuance:
Type of Structure: F7 -
Proposed Wastewater System Type:
Projected Daily Flow: x PDz A q
Number of bedrooms: AA(Number of Occupants: (,1 max
Basement ❑Yes ->430
Pump Required)QYPs ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Suppl : ❑ Community ublic ❑ Well Distance from well 4~:a feet Permit valid for Five years
Per 'j conditions: -.vna k 1M 4c+ t ❑ No expiration
CA c `7-L - i IN rv L n, t ~ x
1 1' J~ OG-~
Authbrized State Agent:: Date: q -t ( -"3 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, .1951, .1959. and .1959 are incorporated by references
with the attached {system layout.
ISSUED TO: ~ti C9n tt PROPERTY LOCATION: C
into this permit and shall be met Systems shall be installed in accordance
SUBDIVISION t hf c
Facility Type: p` ~ --New ❑ Expansion ❑ Repair
Basement? ❑ Yes r,-44-No Basement Fixtures? ❑ Yes 0 No
~h LOT # 27
Type of Wastewater System**
(See note below, if applicable f
f 2~ ~~~-L t rz- SW (Repair)
(Initial) Wastewater Flow: GPD
Installation Requirements/Conditions Number of trenches
Septic Tank Size i-)M gallons Exact length of each trench 93D feet
Pump Tank Size [WJ gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. _I inches
Trench Spacing: Feet on Center
Soil Cover: 4 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: inches total
"*If applicable: / understand the rrstem type specified is different from the type specified on the app/ication. / accept the speciicationr 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 rransforrod whan than k i A-o m ewaar<ka f fie Tr,;.
Construction Authorization is subject to co fiance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
FAuthorized State Agent: Date: Y A v; S~ i~- S--3
Construction Authorization Expiration Date: ci -11- -AD 1 G- ' ~t3
HTE# 01 Permit # 21 L S
Harnett County Depailment of I'ilblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
(WA
PROPERTY LOCATON: t
SUBDIVISION v M. LOT #
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