IPACHTE# 09-5--,21 Harnett County Department of Public Health 2 51 3 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:.SF- Z603 7-1Y6LA -A
ISSUED TO: r✓o *-tSUBDIVISION aLa,j5 LOT # _5?_
NEW ❑ REPAIR ❑ EXPANSION Gif Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~X S~ ~s 'cr~1 Syq jl~yr,~
Proposed Wastewater System Type: Tr -
Projected Daily Flow: 366 GPD T -
Number of bedrooms: e~ Number of Occupants: max
Basement ❑Yes Z No
Pump Required: ❑Yes ❑ No ❑ Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community l~ Public ❑ Well Distance from well feet Permit valid for Z Five years
Permit conditions: ❑ No expiration
Authorized State Agen b~yDate: SEE ATTACHED SITE SKETCH
The issuance of this permit 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 he 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, .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 PROPER LOCATION: _W Z50 ~ ~ylCL•s~n~ /2.~
SU ISION Q~J.JS LOT # 7
Facility Type: 4 C S~ A ^z5` r`v ❑ New Expansion Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** (Initial) Wastewater flow: 5a6 GPD
(See note below, if applicable
(Repair)
Installation Requirements/Conditions Number oft nches
Septic Tank Size -vss gallons Exact length of each trench feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 6--y' inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 7- Feet on Center
Soil Cover. 6-:X- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
6_100 inches above pipe
inches total
**If applicable: / anderrtand the sfstem type specified is different from the type specified on the application. / accept the specificationr of this permit.
Owner/Legal Representative Signature: Date:
TF'. f.. ,1...l.,.
Y,,,,, N,,,, o, ,„C nneuueu use oranges. me consrucuon numorizanon span 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 nPrmir VF OTTAfM CITF WFUR
Authorized State Agen Date: 25 -09
Construction Authorization Expiration Date: -3L 5 -07
HTE# 62 - s - z / 75, j Permit # Z-5-1 .3 3
Harnett Clonnty Department of Public Health
Site Sketch
_ PROPERTY LOCATON:S/Z ZOO-3 /OZ
ISSUED TO: / .IZ51 ll ,d0d,)sd3.J SUBDIVISION CIA ~ I}ac~.JS LOT #
Authorized State Ag Date: 3'ZS'z~`1
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