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Harnett County Department of Public Health 2 5 8 8 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: g uT-V p.+ LP.'cZ
ISSUED TO: W"Y"r.r C.o,+s-sCWC:-,,t.cr YJ SUBDIVISION C-K-& oN 1NL<, LOT #
NEW)< REPAIR ❑ EPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SC fl ( ~!b x5-5
Proposed Wastewater System Type: C-10 Hv t~Y-4 tG N 9,,L
Projected Daily Flow: 3~0 GPD
Number of bedrooms:_ Number of Occupants: max
Basement ❑Yes X No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 100 feet
Permit conditions:
Permit valid for.
Ix five years
❑ No expiration
Authorized State Agent:: qL"'5 Date: 1' l o SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu Cher permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site s subject to revocation if the site plan, plat or the intended use Changes. T Improve ermit 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 Permit)
with The the construction attached and system layout. requirements of Rules .1950, .1952, .1954, 955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
.
ISSUED TO: W-Y(-f N CaNs`ZcZVC\td,,, PROPERTY LOCATION: uc~p,t.oE Q~
SUBDIVISION Cf, r4.6&Qo N 4 s DES LOT #
Facility Type: SFD~yp~x5S) - ` New ❑ Expansion ❑ Repair
Basement? ❑ Yes "K No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** Co r4 ,r0-'4.1 vv0 " r tt- (Initial) Wastewater Flow: 3607 GPD
(See note below, if applicable
Irv &,-4 s , v r P.t„ (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size tOCOO gallons Exact length of each trench -IS- feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: ~a. inches
Maximum Trench Depth of. inches (Maximum so+l cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
~ inches below pipe
Conditions: Aggregate Depth: q inches above pipe
inches total
**If applicable: /understand the rystem type rpeciTed is different from the type specified on the app/icafion. /accept the specifications of Chic permit.
Owner/Legal Representativ i nature: Date:
This Construction Authorization is subject to revoc the site plan, or the intended use changes. The Construction Author zation shall nor be transferred when there is a change in ownership of the site. This
Construction Authorizafo compliance he of the d Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1-1 )0
Const Authorization Expiration Date: z, 7 V5
HTE# Permit # S~5
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: yN cv s-~2 SUBDIVISION G,6cLo,., N6S LOT
Authorized State Agent: Date: ~11a
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