IPAC RHTE#_") _S-00- (~39► 2 Harnett County Department of Public Health 2 4 4 9 7
Improvement Permit
A building permit cannot be issued with only an I provement Permit
PROPERTY LOCATION: IV C dL 7
ISSUED T0: P -j o a G~ J c SUBDIVISION ,j n LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Q 31 y X - 3 ~
Proposed Wastewater System Type:
Projected Daily flow: 3 L D GPD
Number of bedrooms: - -3 Number of Occupants: (0 max
Basement ❑Yes ❑ No
Pump Required: ❑Yes ❑ No ',Fwd'May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~tl ublic ❑ Well Distance from well _ S-Ufeet Permit valid for. -Z Five years
Permit conditions: S c { f7!}( kJ ❑ No expiration
Authorized State Agent: Date: 6 2 ' J SEE ATTACHED SITE SIUCI
The issuance of this permit by the aith 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
Retired for Building Permit
The construction and installation requirements of Rules .1950, 1952, AM, .1955, .1956, .1957. .1958. and AM are incorporated by references into this permit and shah be met. Systems shall be
installed in accordance with the attach system I gouL
ISSUED TO: ~,s/ Ynn (SAJ PROPERTY LOCATION: C d 7
SUBDIVISION 1i , tc n f LOT # 17
Facility Type: S CO - 3) 3 13,1L 14 New ❑ Expansion ❑ Repair
Basement? V Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" i~f6 s (Initial) Wastewater Flow: :363 GPO
(See note below, if applicable X)
(Repair)
Instwk" Requjtrane wCondidons
Septic Tank Size gallons Exact length of each trench X J feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. ( X d q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: _ Feet on Center
Soil Cover. L 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 rpecifed is different from the type specified on the app/ration. / accept the specifications of thin permit
Owner/Legal Representative Signature: Date:
V- F-Culi NU111-44-11 U )UUyCU w {e.VlaUmJ ❑ Olt site pian, pies, or me mmnaea use cnmges. me construction Authorizatron 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 SIIETCH
Authorized State Agent: ; L Date: 0 3 ` J 3- J
Construction Authorization Expiration Date: U-7- 0~1- a J 17
HTE# 0 9 - SJJ 1 ~ 3 71 2 Permit # ;?~y X17
Harnett County Department of Miblic Health
Site Sketch
PROPERTY LO(ATON: C .27
ISSUED T0: 62, 11 SUBDIVISION LOT #
Authorized State Agent: , Date:
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