IPAC RHTE#~ - / /~jS^/Z Harnett County Department of Public Health 24442
Improvement Permit
ISSUED TO' _ ,cIJGJ PROPERTY LOCATION: / O
es SUBDIVISION / LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: _ 34aO _ GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes td'No
Pump Required: ❑Yes ❑ No Id May required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. 2-1 ve years
Permit conditions:
❑ No expiration
Authorized State Age G ;-LC!'b? 'j ate: ` /-Zg.a$ SEE ATTACHED SITE SKETCH
The issuance of this pe the Health 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit
Construction Authorization
(Required for Building Permio
The construction and installation requirements of Rules .19SO, 1952, 1154, _1955, .19S6, .1951, AM. 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: X~G PROPERTY LOCATION: 24170
SUBDIVISION -A FrZ~ M-5
Facility Type: VNeW El Expansion El Repair LOT #
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 0 No
Type of Wastewater System`* (Initial) Wastewater Flow. 3G0 GPD
Se
A building permit cannot be issued with only an Improvement Permit
( e note below, it applicable
~dTG?Da~ (Repair)
149940 Nnuhments/Condiid ns
Septic Tank Size f 0 00 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
I/ /Y
Exact length of each trench 90 _ feet
Trenches shall be installed on contour at a
Maximum Trench Depth of -nches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
Z inches above pipe
/Z inches total
if applicable; l understand the system type specified it different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization a subject to revocation d 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 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 SlIFTCH
Authorized State Ag Date: / - Z 9-0 g_
Construction Authorization Expiration Date: / - Z=/ 3
NTE#'~_ - /~Permit # -~yyyz
Harnett County I ep ailment of h1bl ic•, Health
Site, Sketch
PROPERTY LOUTON: 70 ~el
ISSUED TO: SUBDIVISION / LOT #
Authorized State Age Date: c, g
ZG
I'
~V
r,~ ~,,'3 L-y-,
3z > Nri
y3 ~