IPACHTE# og -s= ~rIt Harnett County Department of Public Health 2 5 2 9 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Sc //G7 Cyz,D;-t rX CL rXli-
ISSUED TO: ~1Z r-\ r% rM ~ M: C SUBDIVISION LOT #
NEW V REPAIR ❑ EXP SION ❑
Type of Structure: SF
Proposed Wastewater System Type: C A-` • ~t
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement 2(e s ❑ No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No ❑ Maybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Eil*lublic ❑ Well Distance from well cc feet
Permit conditions:
Permit valid for.
~ve years
❑ No expiration
Authorized State Agent: Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 TO: t~ f v~c Ccr,~. C PROPERTY LOCATION: J-2Z 1/07
SUBDIVISION
Facility Type: k' New ❑ Expansion ❑ Repair
Basement? t~ Yes ❑ No Basement FixiZ ? ❑ Yes ❑ No
Type of Wastewater System" (Initial) Wastewater Flow:
(See note below, if applicable
Installation Requirements/Conditions
Septic Tank Size CTQ gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
(Repair)
Number of trenches
Exact length of each trench
Trenches shall be installed on contour at a
Maximum Trench Depth of:
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
LOT #
GPD
feet Trench Spacing: Feet on Center
Soil Cover inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
tAggregate Depth:
inches below pipe
inches above pipe
inches total
cunsrrucuon Authorization is subject to compliance with the provisions of the laws and es for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: C 4 24
Construction Authorization Expiration Date: c .261
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
HTE# C 3'= r`L7 Permit # ; 5-;Li 9
Harnett County Department of Public Health
Site Sketch
c PROPERTY LOCATON: C V J r< 1:J (Lr,~ rect.
ISSUED T0: r~..: c SUBDIVISION LOT #
Authorized State Agent:
~1 °4 r
Date: of //d 12C e 5
c yep-.r-.rs C ku /,C 4 i~~A .