IPAC RHTE# 0-7-S - 165-6717_ Harnett County Department of Public Health 2 5 7 3 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: --w- 703 cht2iv I-~ /Z~b
ISSUED TO: ( - SUBDIVISION CAr ,,O e& LOT # zs"
NEW ❑ REPAIR ❑ EXPANSION C~- Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: N~Sp GPD
Number of bedrooms: Y_ Number of Occupants: _ max
Basement ❑Yes Z N~o_
Pump Required: ❑Yes L~l No ❑ M be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for 1Gl Five years
Permit conditions: ❑ No expiration
Authorized State Agen - - / v SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, 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 T0: PROPERTY LOCATION: 5&17o3 &y //tl/~/ftl /~4
~ SU IVISION _~ifj✓~/ylG!/ ,Eso LOT # 2 5
Facility Type: S(-l~ + ~ - 12 New 10expansion ❑ Repair
Basement? El Yes r;r No Basement Fixtures? ❑ Yes 2 No
Type of Wastewater System** r6 -Pi 2S `'l (Initial) Wastewater Flow: _-IS6 GPD
(See note below, if applicable
Repair)
Installation Requirements/(onditions Number of trenches
Septic Tank Size _t 1ao gallons Exact length of each trench Rio feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.._~ / inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: /161-)
2) -/3dx S_t
Trench Spacing: 4-70 Feet on (enter
Soil Cover: 1 }o inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth:_ inches above pipe
_ inches total
**If applicable: / anderatand the system type roecifed it different from the type rpecified on the application. /accept the rpeci6cati0nr of this permit
Owner/Legal Representative Signature: Date:
TL:. r._-._.:__
...1-1-....,.1••„••- . „ -J- < p"a a N14I, Uf nit nnenueu use changes. ine cons ruction numonzauon snail 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 Ag t: Date:
Construction Authorization Expiration Date:
HTE# /65-0-7/Z Permit # z 5-73 7
lal-Ilett Colulty 1)ep-11-filivilt of 1"Itblic Het-11th
Site Sketch
PROPERTY LOCATON: /7d3 jzEJ>
ISSUED TO: lit ~ a SUBDIVISION -04,J,6, c l e c
LOT # 2S"
Authorized State Agent = ~~Date:
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