IPACHTE# 1 0 S -~n-766
Harnett County Department of Public Health 2 5 9 0 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
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PROPERTY LOCATION: Pt7c oGr~
ISSUED TO:
J
r4 .J
C
tiv C-c Io ~.t SUBDIVISION Qt6
NEWX
REPAIR ❑
LOT # k a
Type of Structure:
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
SF9 ~a xSp'
-
Proposed Wastewater System Type:
Q. cnc
7o 2vfe e-E Uc.;'Z kci SyS ~ E,n
Projected Daily flow:
2:(1c:)
GPD
Number of bedrooms:
3
Number of Occupants: Co max
Basement ❑Yes
A No
Pump RequiredKlYes
❑ No
❑ May be required based on final location and elevations of facilities
Type of Water Supply:
P
i
❑ Communi
ty X Public ❑ Well Distance from well \00 feet
Permit valid for. Five years
erm
t conditions:
❑
No expiration
Authorized State Agent:: A~~y QSc1~? Date: '24 31 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance 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, 1957, .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: \,Jy,t,, 2„L7s xon1
PROPERTY LOCATION:
Facility Type:
SUBDIVISION (~fo~,
Ne
❑ E
i
¢ ~przM LOT #
w
xpans
on ❑
Basement? ❑ Yes NS~ No Basement Fixtures? ❑ Yes No
Repair
Type of Wastewater System** C~~,•tip l
aka ~Eoucxtor~l r~YS-c~N\
(Initial) Wastewater Flow: 2440 GPD
(See note below, if applicable
P,J tn?-moo c~ uc,:lo~r S can (Repair)
Installation Requirements/conditions
Number of trenches I
Septic Tank Size 1 oc-!~o gallons
Exact length of each trench 2.60
feet Trench Spacing: 9 Feet on Center
Pump Tank Size LcpG gallons
Trenches shall be installed on contour at a
Soil Cover: Co inches
Maximum Trench Depth of. 1%
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. TDH vs.
GPM
inches below pipe
Conditions: r >,.3~ Ms}~ $E
Aggregate Depth: inches above pipe
1~ F ~s,~ SE~s~ 5y5-s~„ tI a 0-S
1 ~ AA N C&4 Pal--l O wr `nt t t v p L o(l ~-~Q A\~L Q-~Q~S
inches total
**If applicable: /understand the system type rpecJTed it different from the type specified on the app/ication. /accept the specificatioar of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to comp lance its Argil s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: ys Date:
struction Authorization Expiration Date:
HTE#
Harnett (rota
ISSUED T0: Yr+•s oN~ cLV~ ~o s„
Authorized State Agent:
Permit # Q-S~ CR
ntyT Department of hiblic Health
bite 'Sketch
PROPERTY LO(ATON:_ P~ o c --,c
SUBDIVISION Pior~eg-- LOT # 1
` tia `so~~ Date: 1c
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owner: AWkaot;
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