IPAC RRRHTE# N-500- 9 783 PKk Harnett County Department of Public Health 2 5 51 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION: N~ J-7
ISSUED T0: SUBDIVISION 7--l iv r, E,t/
NFWJ1 REPAIR ❑ EXPANSION ❑ LOT #
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ~5 (lec(__
Projected Daily Flow: j,_~1 GPD (10-^
Number of bedrooms: __Number of Occupants: 61~1 max
Basement ❑Yes 7~40
Pump Required: ❑Yes ❑ No -~&May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 1 Publ' ❑ Well Distance from well LQ3 n)~ feet
Permit valid for: Five years
Permit conditions: .f, r,,t }4tn At Std- tick's
k- 4 ~ ❑ No expiration
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Authorized State Agent.: - R S Date: -.02 -,?Y- 23 1 J SEE ATTACHED SITE ETCH c
The issuance of this permit by the 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 Building 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 instalkd in accordance
with the attached system layout.
ISSUED TO: , , o n Cam, ; PROPERTY LOCATION: A&
F~ SUBDIVISION r N .en w}~ LOT #
Facility Type: X New ❑ Expansion ❑ Repair
Basement? ❑ Yes 5 No Basement Fixtures? ❑ Yes i~17-No
Type of Wastewater System- a s is S (Initial) Wastewater Flow: GPD
(See note below, if applicable
a S 1~~., ~---(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size I J Z~ gallons Exact length of each trench 3 feet Trench Spacing:
--L_. Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. - r inches (Maximum soil rover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
In all dlrectlons)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
~-r Aggregate Depth: inches above Conditions: rn r f A((tVltl Paz pipe
inches total
**If applicable: /understand the system type spec&ed it different from the type specified on the app/ication. / accept the specifications of thif permit.
Owner/Legal Representative Signature: Date:
This Construction Author zation is subject to revocation if the site plan plat or the intended use changes. The Construction Authonzation 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 SKETCH
Authorized State Agent:
Date: Qd- a`f- ac)i-D
Construction Authorization Expiration Date: X02-a-( J01 5-
HTE# V g'DQ -x3723 2jZ P, Permit # d s -j- I
Harnett County Department of llublic Health
Site Sketch
PROPERTY LOCATON: (
ISSUED T0: ~ n ins SUBDIVISION +1f e LOT # -S--?_
Authorized State Agent uA- 961-6 Date: i)V 93 C
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