IPACRHTE#s2 13~~larltt County Department of Publirealth
25234
Improvement Permit
A building permit cannot be issued with only an ImQrov> e ent Permit
PROPERTY LOCATION: zz
ISSUE TO: 7 f SUBDIVISION ~/ZifJ-T
Y
-S LOT #
NEW
REPAIR ❑
D
T
f S
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
~ **4 -7 - 3 B
ype o
tructure:
<ra sc
fl~ 7(.r a 1( Un d 11 r: i2
f
Proposed Wastewater System Type:
t1--d-J'11
c
Projected Daily Flow: 3(.'J
GPD
~I" tf
%c Ja `
4
Number of bedrooms: ~
/
Number of Occupants:
(_0 max
~ "2a
Basement ❑Yes -.K No
.
t
~e
Pump Required: ❑Yes ❑ No
T
'5/May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
~
) Public ^ Well Distance from well to J feet
f
Permit valid for. '`Z Five years
Perm conditions: ~
f)ll J~
3) ~ty-r t~tum1`21frTC,
zy'4' , t
6& f~'i rYi~ fL} a~-j
c~ t ~,t► r n t
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El No expiration
Authorized State Agent.: - Date: 0 ( • a 5i - a 69- SEE ATTACHED SITE SKETCH
The issuance of this permit by the H Itti 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, ASS, _1956, .1957, .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: P t~2~t. PROPERTY LOCATION:
/ Z
SUBDIVISION _ ~r 1 LOT #
Facility Type: ?k i Y 7 3-R2- New ❑ Expansions ❑ Repair
Basement? ❑ Yes CZ- No Basement Fixtures? ❑ Yes AND
Type of Wastewater System" (Initial) Wastewater Flow: ~i3 GPD
(See note below, if applicable
c~~,cl~ cc~n (Repair)
Installation Requirements/Conditions Number of trenches p,
Septic Tank Size A)DO gallons Exact length of each trench , 3 feet Trench Spacing: ( Feet on Center
Pump Tank Size gallons Trenches shall be installed on con our at~, 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 ;.,h. b I
Conditions:
Aggregate Depth:
s a ow pfpe
inches above pipe
inches total
If applicable: / undeatand the syItem e sPeciled it different from the hPe Pr eciled on the application. / accept the rPecilcationt of this Permit
t'P
Owner/Legal Representative Signature: Date:
This Construction Aurhnrirarinn it mhinrt rn rovnnrinn if the dro ,.h,, „h. ,......a.a x. r_ .
r- r - -..,.6- - ---l u >uau nut ue uansrerreu wnen mere is a cnange in ownership of the s te. This
construcnon eutnorizahon 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
j~ 'J -J
Authorized State Agent: Date: 01-off 5 -2 ~ oi-IY-')q q1y jZ
Construction Authorization Expiration Date: ` 0,- tv -d3
HTE# DX- 57-00 1(o L Permit# ~25d3
Harnett County Department of Public Health
Site shetell
{ PROPERTY LOCATON: 1121
ISSUED T0: 9 f~ SUBDIVISION) LOT #
Authorized State Agent: W 412
Date: 0~~ t
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