IPAC RHTE# Harris t' County Department of Public LAO 47 6
6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
JN t PROPERTY LOCATION: N'C
ISSUED TO: ! rQ SUBDIVISION f t N e tti 3 r LOT #
NEW $Z REPAIR ❑ 3 XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
~C
Proposed Wastewater System Type: In 9"A-4,
Projected Daily Flow: 34Q GPD
Number of bedrooms: > Number of Occupants: max
Basement ❑Yes 'A-No
Pump Required'-i4Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Suppl : ❑ Community Public ❑ Well Distance from well feet Permit valid for. 1>--k Five years
Permit conditions: " P, , r•p•li,L( ~ E MALn ~c4Nt"j❑ No expiration
Authorized State Agent.: ( L W-- _C... J Date: _5- - Q 0`7- 3 7- Z) I 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 checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, pla4 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: Nf SRS a4 PROPERTY LOCA°T--IO~N-:
SUBDIVISION ITN LOT # 14
Facility Type: SV-D - G3 x j 3 -10 0- New ❑ Expansion ❑ Repair
Basement? ❑ Yes T No Basement Fixtures? ❑ Yes -Jd No
Type of Wastewater System** t^ -t' (Initial) Wastewater Flow: 740 GPD
(See note below, if applicable "-f~' ef-r-~C~ &c k (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench ~~feet Trench Spacing: Feet on Center
Pump Tank Size _ 133,--) 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
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified an the app/ication. / accept the specif1cationr 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 chance 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
Authorized State Agent: Date: L~ 0 ~ -J ?I- D ~
Construction Authorization Expiration Date: 5-1 -
212
HTE# - ~Tf9 Permit # 0
Harnett County Department of vtwic nealth
Site Sketch.
PROPERTY IOfATON: ~
ISSUED T0: ( ~./t"`y (~~l SUBDIVISION r vv LOT #
Authorized State AgentDate:
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57-Z
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