IPACHTE# 10-5 a-4- -1-'l Harnett Lou ty Department of Public Heaah
Improvement Permit 2 6 21 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: l4 W- 1
ISSUED TO: y N s.( c t c1 U C rGtin s.► SUBDIVISION N C~6 0\ ,I-< F_ LOT # 10 3
NEW4~ REPAIR ❑ EXPJSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~ (J-O' -d 1Sc~.~r~G ran, ti~~N~~~zr~ ` ~7\C,AT£fl
Proposed Wastewater System Type: °Pu"NP"70 25d o uc;F\or'j
Projected Daily Flow: GPD 05RL_ . c'G Q FF 21~.\+~1 ~~-o
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes
Pump Required:s
Type of Water Supply:
Permit conditions:
No
N-obrr\Xit... \ 2R F \G
❑ No ❑ Ma be required based on final location and elevations of facilities
❑ Community Public ❑ Well Distance from well Vbb feet
Permit valid for:
)XFive years
❑ No expiration
Authorized State Agent:: Date: 7'a-1 Y D SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc ther 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 Improvemen mit 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, .1951, .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: N CN5 ,Q;'JcltoN PROPERTY LOCATION: 14w-sa°1~I
SUBDIVISION 1 %r.sGf-sJ O1 N'S t- LOT # L(33
Facility Type: ~~rxs®J New L❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ es No
Type of Wastewater System** PO me^ x.5010 FsaUC-C\d~ '5-~ -"<f~ r"
(Initial) Wastewater Flow: 3CO GPD
(See note below, if applicable
Py YY' l o al)- .o RaDv CC1 d A (Repair)
Installation Requirements/Conditions Number of trenches )
Septic Tank Size two ° gallons Exact length of each trench .~QS feet Trench Spacing: Feet on Center
Pump Tank Size 1,C) 00 gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. 1"Z inches (Maximum soil cover shall not exceed
Pump Requirements: ft. TDH vs.
Conditions:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type specifed is different from the type specified on the application. /accept the speciFcations of this permit.
Owner/Legal Representa ' nature: Date:
This Construction Authorization is subject to revoca' f the si an, 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 b' t to complian ith o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: St. a`S
Constru' Authorization Expiration Date: ti►►~
HTE# 10 Permit # a-02.1'2.
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
N4
Authorized State Agent:
PROPERTY LOCATON: wy ):I
SUBDIVISION TTY rs c 6.-,,j o, ~E. LOT # l03
ia5 Wc,y~~z -~oL~s ate: 1} 0\
t--r ~ /
coy x50/
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33
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