IPACHTE#_CA- S1 /9/7S- Harnett County Department of Public Health 24561
Improvement Permit
A building permit cannot be issued with only an I
m}'rovement Permit
ISSUED
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PROPERTY LOCATION:- f7Wy :2q
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LOT # ~
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REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
/Vase. 3
1x7 2
Proposed Wastewater
System Type:
Iz l1r.0 rEe ~j
Projected Daily Flow:
.36
GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes
No
Pump Required: 6 es
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❑ No
❑ C
❑ Nay be required based on final location and elevations of facilities
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Public ❑ Well Distance from well feet Permit valid for.
ET-
Five years
Permit conditions:
❑ No expiration
Authorized State Agent: /C-.-'•- Date: Z' f t J_X L`C f SEE ATTACHED SITE SKETCH
The issuance of this permi the Health eD payment 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 Pgrmid
The construction and installation requirements of Rules .1950, .1952, 1954, .1955, 1954, .1951, .1958. and .1959 are incorporated by references into this permit and shah be met, Systems shall be
installed in accordant with thit}cbed spier layout. /
ISSUED TO, e a
_C ~c 100 ltni-g!' PROPERTY LOCATION: _ ~twY Z
t SUBDIVISION ~::~lt c ice c( LOT #
Facility Type: 7Z F New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes El No
Type of Wastewater System" ~1~ ,40-Qk4 (Initial) Wastewater Flow: 3ra ~ GPD
(See note below, if applicable 24"'1 (Repair)
laWW on 1equiretrtelits/fond't6m
Septic Tank Sizegallons Exact length of each trench feet Trench Spacing: 9 feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover ~ inches
Maximum Trench Depth of. /8 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: h. TDH vs. GPM inches below pipe
Conditions: CAfuic.4w- --s mire. J; t t Depth: inches above pipe
< ka ~A
/S~cw• inches total
**If applicable: l undeatand the ryrtem type rpeclred it different from the type speciCed on the application. / accept the rpecdcationr of thin permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The (anstntction Authorizatan shall not be transferred when there is a change in ownership
of the site. This (onstruction 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
Authorized State Agent: ~ Date: Z SEE ATTACHED SITE SKETCH
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Construction Authorization Expiration Date:, z ~S 1, a
HTE# Permit # Zy 5-
Hallett County Iepallinent of Public Health
Site Sketch
PROPERTY LOUITON:
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent Date: dzs z
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