IPACHTE#~> J 3j Harnett County Department of Public Health 2 4 4 9 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I I L 1~
ISSUED TO: Vl ~1 / SUBDIVISION ~ /c LOT # 1 S
NEW54 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~y .t Y__~ mot-( z 2 _
Proposed Wastewater System Type:
Projected Daily flow: c J GPD
Number of bedrooms:Number of Occupants: max
Basement ❑Yes &No
Pump Required: ❑Yes ❑ No lay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Q4 Public ❑ Weil Distance from well feet
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Permit conditions: S ju D
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Permit valid for. )6 Five years
lc,t-4„o~ ❑ No expiration
Authorized State Agent: A 0, Date: 0 3 z> Y SEE ATTACHED SITE SKETCH
The issuance of this permit by he 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 Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Required for Buildin¢ Permit
The construction and installation requirements of Rules .1950, .1952, AM, 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: 11 L 4!)r-, ( PROPERTY LOCATION: ;t I 1 1
SUBDIVISION j 1~_ kl { LOT #'2
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Facility Type: Sr `1 `f Y y 3 New ❑ Expansion ❑ Repair
Basement? ❑ Yes '14 No Basement Fixtures? ❑ Yes Z No
Type of Wastewater System*' t~l-(Initial) Wastewater Flow. Y GPD
(See note below, if applicable
(Repair)
InsWWm Requiran niVIConditions
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: ft TDH vs.
Conditions:
Exact length of each trench l 8 1D feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1.9 ) inches
(Tren(h 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: l understand the system type specifed is different from the type specified on the application. l accept the specilcattons of this permit.
Owner/legal Representative Signature: Date:
this Construction Authorization is subiect to revocation if tho cite nlan nlat nr tho inrondod n<n rhan- Thu fnocrnvbnn e...6 :,,,r~ .ti,u . '-f- A A Wh 11 . . ,t.,.__
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of the site. This Construction Authorization is subject to compliance with the provisions of the Laws and Rides for Sewage Treatment and Disposal and to the conditions of this permit,
SEE ATTACHED SITE SKETCH
Authorized State Agent. Q. - 1 Date: D 3 J 3
Construction Authorization Expiration Date: L) ) UI 4Dy3
NTE # 0 _ f `l 3 Permit # ) y 4, ✓
Harnett County Department of Miblic Health
Site, Sketch
PROPERTY LOCATON: I U
ISSUED TO: L A )1 ~-.EJ~ ct SUBDIVISION L~J ~ S h, rZ4 LOT # C ~
Authorized State Agent n cAQ- S Date: C7 - J C:,,2
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