IPAC RHTE# 06--SDO-Q)33t R, Harnett County Department of Public Health 25521
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: r% s PROPERTY LOCATION: C
~1 n SUBDIYISION "7"" t ~ , LOT #
Z
NEW -AV", REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~9 X 7jM C~
Proposed Wastewater System Type: R 7.
Projected Daily Flow: 3 t~rJ rAO GPD
Number of bedrooms: NAi Number of Occupants: Le max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No 3K May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community t3- P bljc ❑ Well Distance from well feet Permit valid for:
Permit conditions: Div DA S ~~C mot, t< L :ate- E Five years
S e4 (3"-tfcrs ❑ No expiration
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Authorized State Agent.:1¢5 Date: 9-03-113 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Neal 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 TO: PROPERTY LOCATION: `l
5 SUBDIVISION { t f? C r\ ec .L
, LOT # L
Facility Type: 3 ED - 4 5 Y- `t tZ- New ❑ Expansion ❑ Repair
-
Basement? ❑ Yes ~L No Basement Fixtures? ❑ Yes cli~ No
A''14
Type of Wastewater System** (Initial) Wastewater Flow: 3 GPD
(See note below, if applicable
~1J. t(od , S"J(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Iona gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shali be installed on contout a
Maximum Trench Depth of: e_ _ -Ay inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDN vs. _ GPM
Conditions:
Trench Spacing: feet on Center
Soil Cover 6 Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
**If applicable: / rrnderrtand the ryttem type specified is different from the type specified an the app/ication, / accept the rpecificationa 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 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: r L Date:
Construction Authorization Expiration Date: D 1~ - p3, 3 1
HTE# ~ ~-SD01031 Permit # or 5
Harnett County, Depailinent of 1'~1t)lic Health
itt ketch
PROPERTY LOCATON:
ISSUED T0: r` SUBDIVISION LOT # 2
Authorized State Agent:.:- Date: Ste- D3-i3
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