IPAC (2)HTE# o'z-s-~01 4~, Harnett County Department of Public Health 25771
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1.-zx ,yrl
ISSUED T0: ~"~b~'E ~~.actl~5 ~E~t ~E~1 . SUBDIVISION act ~wE~C LOT #
NEWWWX REPAIR C~ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5F~ K-b -C n Proposed Wastewater System Type: a5% pv c:\\o 4 5 r5-c
Projected Daily Flow: 36C> GPD
Number of bedrooms: 3 Number of Occupants: ro max
Basement ❑Yes 'oK No
Pump Required: ❑Yes X No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for ; Five years
Permit conditions!- ❑ No expiration
Authorized State Agent.: Q-E-~ Date: lil I n V0Pi SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the " ance 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 TO: \A owEx F-b~ ►KU6)(~).,E~' 0E:v PROPERTY LOCATION: ~-EMyEL-~~-~
SUBDIVISION GN7F--- F-'%' LOT # _
Facility Type: S rs ~~d''~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ->~No
Type of Wastewater System' a5% 9-&D vcrc~oty Sy's-~Em (Initial) Wastewater Flow: GPD
(See note below, if applicable p
yvc~p~0 as-/. V-&o U<Mlo"SJ 1sE.cv(Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size X 0010 gallons Exact length of each trench 1 Feet on Center
_g2,50 feet Trench Spacing:
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: NY inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4r' 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below i e
Conditions: W4,; Fes- L_N H E NvsT 4) ~ Fir.
pp
_ Aggregate Depth: inches above pipe
~ 4 Ns v inches total
"*If applicable: /understand the rystem type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Consrrumnn Anrharvarinn 6A not he
.
t_n_n..<rnrred when the-
Construction
Authorization is subject to comp 13 ron of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: QS S Date: vd -1) o S
ruction Authorization Expiration Date: i1 ~-l
NTE# H D- Permit # `~57 7 t
Harnett ("ounty I)epartinent of Mtblic Health
Site Sketch
PROPERTY LOCATON: L--Er.yErt, $l P,c~c P-~
ISSUED TO: V oter QvC~c v. SUBDIVISION LOT
Authorized State Agent QE O~w "toL~spbt~ Date: ALL V n
SEC- 50gQ1v151o, iq1 .R jr' Q.. REpp,%
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