IPAC RHTE# Harltett County Department of Public dealth 2 5 3 0 b
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Qos t o aTa o
ISSUED TO: s~ E SUBDIVISION B ~s~o LOT # 5>5
NEWX REPAIR ❑ E NSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: I`1 p,~ 1-\0 "-60 2
Proposed Wastewater System Type: a ld uc.;vo~ S-Ys-c> m
Projected Daily Flow: d GPD
Number of bedrooms: Number of Occupants: (o max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well _ feet Permit valid for:
Permit conditions SEV. V-~ (r,
Five years
❑ No expiration
Authorized State Agent: , ~ QS
The issuance of this permit by the Health Department in no way guarantees ce
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: 4I I ~n SEE ATTACHED SITE SKETCH
of other permits. The permit holder is Bible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .19S2, .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: S CCJ f-
~~kb~,~
Facility Type:
Basement? ❑ Yes ",9., No Basement Fixtures?
Type of Wastewater System" P-M uc-t
(See note below, if applicable
t..-e 2
PROPERTY LOCATION: Pow tug c Q-0
SUBDIVISION C3aao~TCi< LOT # 5
New ❑ Expansion ❑ Repair
❑ Yes 'KNo
vG~ Sy5-1Em
(Initial) Wastewater Flow: 3X0 GPD
pair)
Installation Requirements/Conditions Number of trenches l
Septic Tank Size YOB gallons Exact length of each trench ',~00 feet Trench Spacing: Feet on Center
Pump Tank Size TOE gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of- I a, 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
Aggregate Depth: inches above pipe
Conditions: L C-') v-E---x j ~ inches total
**If applicable: l understand the ryftem t}pe rpeciped it different from the type specified on the application. l accept the fpeci11'wionr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it the an, plat 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 t visi t ws Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: `i c
Construction thorization Expiration Date: ~1
HTE# O°1 5-~ ~-?a-$ Q Permit # 530 C,
Harnett (bounty Department of IlUblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
Ce E~c;n.~+~zoc1-mod ~~~5 O e~
l;~ ~-wa 1 a ~otw6 ~tv7
~2Fs~c~ ~rip~rt kI 0 A1of
3a oe-F,-
l0, oS" C~0vFa NEED
bvLCL.
QY2C~ C'c~5t Lc~-E~~ PQP1~~ 9 r~ i~a
50 L s~~~suC~ a
a)~
R.
C
HOME
~ AaL- G
t
Farb
6ti8
PROPERTY LOCATON: PoloEaos- R~
_ SUBDIVISION ~~~saks-ro LOT #
> 6 ,-v c-rz- -CoL<~Date:
\~`xbCl ~3`l
AC2~1>. Bo L1 N:~ ~fl
~'y gt u ~ ~'1-G~ ~5 r
Fn~EP i dtL.
p~A1N
~,1Ew *1oME
r...PP 2E~~~CL.
eSv1:5fo V7 o11, Nr,,,
Nor-,E LpGK; NON
4) tiS-j
01
,
160