IPACH T E # 07'1 -5~ ►3 Harnett County Department of Public --health 2 5 6 5 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
_ PROPERTY LOCATION: v 2E yi
ISSUED TO: 1 SUBDIVISION
LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M;-,, )iAo+--~ GLt
Proposed Wastewater System Type: oNvC -r'Cso rs e-,t,
Projected Daily Flow: 0 GPD
Number of bedrooms: Number of Occupants: LJ max
Basement ❑Yes 'k No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well 1100 feet Permit valid for. XFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 53 ~8 O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaran ees t uance 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, .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 T0: TijoMflS L Aths~~ PROPERTY LOCATION: gBQ Gk\?2,C*14
SUBDIVISION LOT #
Facility Type: Y~1a~r, ~Uc~E New ❑ Expansion ❑ Repair
Basement? ❑ Yes IR, No Basement Fixtures? ❑ Yes No
Type of Wastewater System" C o ,j-j &N \ o rt Ac1.., (Initial) Wastewater Flow: GPD
(See note below, if applicable
Cc>, rytrt rC do J At- (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t~n ao gallons Exact length of each trench GCS feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a 4 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: C) Feet on Center
Soil Cover. _ la, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
r_ inches below pipe
Aggregate Depth: inches above pipe
inches total
"`If applicable: / understand the system type apeci6ed is different from the type specified on the app/icatioa. / accept the jrpecificatioar of this permit.
Owner/Legal Representative Signature: Date:
,,,....,.a.... iMULuuu a me she plan, pear, or me mrenaea use changes, ine construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance ~'proviss of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: q_5 Date:
onstruction Authorization Expiration Date: `t
HTE# O` 1 5-13 Permit # a56 55
Harnett ('ountyT Department of Fl blic Health
Site Sketch
_ PROPERTY LO[ATON: e>eQ G.v2ca,i
ISSUED T0: ~ocha,5 E . L n,~.c.c c~ SUBDIVISION LOT #
Authorized State Agent: A- Date: Oo1
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