IPACHTE#__Q_ Y~o 3- Harnett County Department of Public Health 2 4 4 8 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: ~~Ilt^11jc- ~ ) PROPERTY LOCATI N:_Ll _
SUBDIVISION __tt j ji„c-. LOT # ZI-
NEW>5~ REPAIR ❑ [XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sf - S""/1l - 3_ rc,
Proposed Wastewater System Type: 2 t7 a
Projected Daily flow: 36o GPD _
Number of bedrooms: 3 Number of Occupants: G max
Basement ❑Yes ~Q No
Pump Required: ❑Yes ❑ No -)4 May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 9'y feet Permit valid for. five years
Permit conditions: f3
u tom' r{7~y, ~s C p,►'_ , T (-l ~;rto",, l r. j 43Imo- A ~r ❑ No expiration
Authorized State Agent: v) _ Date: SEE ATTACHED SITE SKETCH
The issuance of this permit bVthee h Depart ment in no war guarantees the issuance of other permits. The permit holder is responsible for checking with appro~iate governing bodies in meeting
their requirements. This site is revocation it 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 Dsposal and to conditions of this permit.
Construction Authorization
Re uired for Building Permit
the construction and installation requirements of Rules .1950, .195I, .1454, .1955, .1 956, .1951, .1958. and .1959 are incorporated by references into this permit and shag be met Systems shall be
installed in actor ce with the attached system layout.
ISSUED TO: (-Y\ Mc~ ~ 5 PROPERTY LOCATION: Il 2~'
SUBDIVISION f r r't:e_ LOT # 2 I?
Facility Type: -Sr`~ ~tf A ► ' 3 (3n -New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes 6k- No
Type of Wastewater System" (Initial) Wastewater Flow: L . . GPD
S bl "
( ee note a ow, it applicable XJ) LS 1"
(Repair)
InsAtion Requirerm ts/Condifim
Septic Tank Size JD:~Dgallons
Pump Tank Size gallons
Pump Requirements: ft. TDN vs.
Conditions:
Exact length of each trench f X f P feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: .1 f%3 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing feet on Center
Soil Cover
inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
If applicable: / understand the system type specked is different from the type specified on the application. / accept the foecif1c,?#onr of this permit.
Owner/Legal Representative Signature: _ Date
This Construction Authorization is subject to revocaton if the site plan, plat. or the intended use changes. The fonstntction Authorization shall not be transferred when there is a change in ownership
of the site. This Construction Authorization i ' t 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: 0 `2- Z)
Construction Authorization Expiration Date: O L 2j d-O)l
HTE# 1`7' 31~ ~ Permit # Q `t K
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: Li M t o o SUBDIVISION LOT #
Authorized State Agent I Date: 2 - 2)'--D
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