IPACHTE# O~ 5-~31
Harnett Lounty Department of Public Healtn 2 5 7 7 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: E ► t tr,~,a.•~ Gnov G
ISSUED TO: _CQ_N"c P L,tL_ r~ ~~06cLC' CRa~~G SUBDIVISION LOT #
NEW' REPAIR ❑ EXPANSIOl1~ ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ( pt '
Proposed Wastewater System T e: Co ras~rr NoN DAL
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes A< No ❑ May be required based on final location and elevations of facilities i
Type of Water Supply: ❑ Community ❑ Public Well Distance from well tOO feet Permit valid for: Five years
Permit conditions: ❑ 1h o expiration
Authorized State Agent: Date: 11 o SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ce 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 Imp ment 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: Cc ,IF_ PROPERTY LOCATION: "ILLMP~,t GczrrzL
SUBDIVISION LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~No
Type of Wastewater System" C0"vim ~c,y N PAL., (Initial) Wastewater Flow: 3b0 GPD
(See note below, if applicable
C.~,rc=N~ ~o rJ ~y (Repair)
Installation Requirements/Conditions Number of trenches Q
Septic Tank Size ti b V gallons Exact length of each trench `t feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. a -30 inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 'I Feet on Center
Soil Cover. AZI- Iii inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
~o inches below pipe
a inches above pipe
i inches total
*If applicable: /understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal R gsentative Signature: Date:
This Construction Authorization is su revoca on 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
Construction Authorization it* omplia ovisi of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1l 1~ oq / e7' /
Con ction Authorization Expiration Date: L` 17 t
HTE# Owl -s -,)-73 ozt-S-a3 ~A5 Permit # asp y
Harnett County Department of IlUblic nealth
Site Sketch
PROPERTY LOCATON: H LLC~r.ti cow, c
ISSUED TO: C-N2sUE SUBDIVISION LOT #
Authorized State Agent: ou~Gri ioLf.'soo Date:-t~0°\ / slay
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