IPAC Rt
HTE# ( - - -:51 Harnett
- :s7 County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
25702
PROPERTY LOCATION: .S S 6r-V-1-a 614t, 1(5-b
ISSUED TO• SUBDIVISION ?'5 0,0,60 LOT #
NEW EPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: /yll~&
Proposed Wastewater System Type: Z5°,6(~~~J
Projected Daily flow: 360 GPD
Number of bedrooms: Number of Occupants: L max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No I~ MgXe required based on final location and elevations of facilities
Type of Water Supply: Q ,j:ommunity I!I Public ❑ Well Distance from well feet Permit valid for. 2 ve years
Permit conditions: ~t ~V-A 4nd ❑ No expiration
Authorized State Age Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, AST .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: 4ZL4tn4nt-> lfd~•~, PROPERTY LOCATION: 13!< j 441JLDw""04-/ZA
SUBDIVISION 7•S C.Y?Zra LOT # 3
Facility Type: / 6 ZNew ~❑l xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L!T No
Type of Wastewater System" 7s~'/yfL-,JdGSTll<I►.J 22Ty4o (Initial) Wastewater Flow: '34. O GPD
(See note below, if applicable
'il*--'~'~t40 L ,F-c".."e-1/►,Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size 1600_ gallons Exact length of each trench 16-0 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ( inches
Maximum Trench Depth of. ZY' Aches (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: .2 inches above pipe
Conditions: t~bA)A94 G -07 /►'(/.`~=j- D/JS."i ~~l,Call .12- inches total
`It applicable: / rrndeatand the system type specified is different from the type specified on the applicwt 17. / accept the speciflwionr of this permit.
Owner/legal Representative Signature: Date:
-)111 rti ie-auon a tilt sue Plan, prat, or me imenaea use changes. ine tonstrucuon Authorization shau not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag Date:
Construction Authorization Expiration Date: / Z
HTE# d 9 -S _ Z3/ F"7 Z Permit # Z S'7 6 Z
narnett County Department of 1blic Health
Site ketch
PROPERTY LOCATON:-5W LrdE D 2-
ISSUED TO: E SUBDIVISION ~i S Cabs LOT #
Authorized State Agen Date: /Z-j -09
~i
C r -w
,~~TD~ ;~5
v S
~Do- hod,
.54 -
!7
v
52 ~~53 Lp`
4
I&OP cP--
3
2v ,