IPACHTE#0~-s'- ui es- Harnett County Department of Public Health 2 5 4 3 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: -V Imay ~Ta,~)J iUj
ISSUED T(}r~ v3S, ,¢L 64 zl,,y`•~ SUBDIVISION 14
,t LOT #
NEW L"6 REPAIR E3/ EXPANSION Ca' Site improvements required prior to Construction Authorization Issuance:
Type of Structure: ~k -5/19b
Proposed Wastewater System Type: ['ea ✓G.Jn0191~-p
Projected Daily Flow: 3(,4) GPD
Number of bedro 3 Number of Occupants: _ max
Basement es ❑ No
Pump Required: ❑Yes No ❑ Me required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LAG Public ❑ Well Distance from well feet Permit valid for. LJ Five years
Permit conditions: ❑ No expiration
Authorized State Agen Date: /d-2. - Og SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 a 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 the attached system layout.
ISSUED TO: zJ C PROPERTY LOCATION:.5g
S ON _j _LOT#~
Facility Type: SJ~/~ ❑ New Expansion ❑ epair
Basement? Yes @~ No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C'Uh~ll~,a.~J (Initial) Wastewater Flow: -;ZZ GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size --E~ allons Exact length of each trench _ 70 feet
Pump Tank Size allons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing:_ Feet on Center
Soil Cover: Co' inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
Z inches above pipe
-12- inches total
**If applicable: / understand the sy stem type specified is different from the type speciTed on the app/ication. / accept the specibcationr of this permit
Owner/Legal Representative Signature: Date:
. , , F ray , ' « ~ru we uisnges. life lonSVUCWn numorrzanon span not De transferred when there is a change in ownership of the site. This
Lonstrucron 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: LO-I'L-- oI
Construction Authorization Expiration Date: 10 JZ -/q
HTE# g - --5---Z7 ~ 9S' Permit # 2 ~y f
Harnett County Department of 1"I blic Health
SAP Sketch
_ PROPERTY LOCATON: S4 6T6 i4iz: ~ rj!]
ISSUED T0: SUBDIVISION &bk4 , LOT # A
Authorized State Ag 'f Date:
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