IPACHTE# Qi-)J0` 030q Harnett County Department of Public Health 2 4 6 5 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: I I Z C
ISSUED TO: SUBDIVISION J S r` LOT # ,20 "T
NEW REPAIR ❑ EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 0 _ c"f 8 if-
Proposed Wasteware Sr ystem Type: Z S'/_
Projected Daily Flow: Lf 31 GPD
Number of bedrooms: Number of Occupants: "K- max
Basement ❑Yes 'fig-No
Pump Required: ❑Yes ❑ No "=May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ~r Public ❑ Well Distance from well, feet Permit valid for. Nr five years
Permit conditions: s(u n7 -<A e Iv !-M S- t o c( I C N~C.~ p~ 5 r ❑ No expiration
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Authorized State Agent: 1 Date: D 7 - 0~i - 0 ~r SEE ATTACHED SITE SKETCH
The issuance of this permit itelth 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 to 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 Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1956, .1952, .1954, .1955, .1956, .1957. A95t 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: CCU, e 5) L",J PROPERTY LOCATION:
SUBDIVISION L A:) mac( S k, rY LOT # 2-073
facility Type: _560 -~EgX`~ ti New ❑ Expansion ❑ Repair
Basement? ❑ Yes 9- No Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System`* _ Zs % 0-A-1,- (Initial) Wastewater flow "4 GPD
(See note below, if applicable
(Repair)
INW1060e inukents(Con ww
Septic Tank Size X~ gallons Exact length of each trench s_l213 ~ feet Trench Spacing: ( feet on (enter
Pump Tank_ Size gallons Trencbes shall be installed on contour at a Soil Cover to inches
Maximum Trench Depth of., I, _ 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: ft. 1DH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions:
inches total
"If applicable: / undeatand the tyltem type tpeciled it different from the type ipeciled on the application. l accept the tpecilcationt of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation d the site plan, plat or the intended use changes. The Construction Authoraation shall not be transkrred when there u a change in ownership
of the site. Thu Construction Auth a is subject to complian e with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
5 SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 03 CN- O Y
Construction Authorization Expiration Date: aJ 13
HTE# Permit #
Hamlett County Department of ll tlbl is Health
Site Sketch
PROPERTY LOCATON: / / 2
ISSUED T0: LA, C SUBDIVISION (,~IX s~,, n r LOT # Z~ 1
Authorized State Agent Alf Date: 0 y off'
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