IPAC- - - - -
FITE# OS W-~ K/ 3- Harnett County Department of Public Health 24500
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ' 2
ISSUED T : lei h c' f J Lx) ( SUBDIVISION _ L.t QJ(_ J h , ,l LOT # i
NEW REPAIR ❑ EXPANSION~❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: r~1 J k N 1-4 3
Proposed Wastewater System Type: _&,-0 -T. 2 ; cc_ . 5 ,
Projected Daily flow: `5 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ig No
Pump Required:3glYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Suppl : ❑ 4ommunity Public ❑ Well Distance from well feet
Permit conditions: c c i r.111
Permit valid for.
'0 Five years
❑ No expiration
Authorized State Agent:: Q -f Date:] 3 "Ir SEE ATTAINED SITE SKETCH
The issuance of this permit by th 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 A the site plan, plat, or the intended use changes. The Improvement Permtlt 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 Buildine Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, AM, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be
installed in accord an a with the attached intern layout.
ISSUED 10: ~f t Vim) t Lf~r.~ I PROPERTY LOCATION: 1
SUBDIVISION __L. V) d ) t /ke -LOT # ?o a~
Facility Type: Sri ' "M X 1t - Y 3A -9, New ❑ Expansion ❑ Repair
Basement? ❑ Yes 9- No Basement Fixtures? 11 Yes El No
Type of Wastewater System** ° -t • 2 l 1, d- Jzi ~ (Initial) Wastewater Flow: _ GPO
(See note below, if applicable
2 t (Repair)
InsWWW Requirmlettts/Ctxad4ions
Septic Tank Sizel Do gallons Exact length of each trench feet
Pump Tank Size 2 gallons 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: It TDH vs. GPM
Conditions:
Trench Spacing- Feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
"If applicable: /underhand the system type spech ed is different from the type specified on the application. l accept the speciecations of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intendeduse_changes_._The Construction Authorization shall not be transferred when there is a change in ownership
of the site. This Construction Authorizatio ,s subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTAINED SITE SKETCH
Authorized State Agent: Date: 0'
Construction Authorization Expiration Date: '0-~ t)`7 )i
HTE# I `l 3 L~ Permit # 2 ~ S J
Harriett County Department of Miblic Health
Site Sketch
PROPERTY LOCATON: 112 C
ISSUED TO: SUBDIVISION C,/)}<< 1 I1,, , LOT # 7J.,
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