IPACHTE# O'R`5-~33bG Harnett County Department of Public Health 2 5 7 8 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M.cno~owF~: ~c,
ISSUED T0: 4-~0 0 G.Ha4L-0 <-~AsoN SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFo QZ v~ vN
Proposed Wastewater System Type: (:-o "-4 6_es\ o r -4;;1%A_
Projected Daily Flow: 3~ a GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community N9 Public ❑ Well Distance from well l00 feet Permit valid for. 'Nive years
Permit conditions: ❑ No expiration
Authorized State Agent:: a
The issuance of this permit by the Health Department in no way guarantees the issu
site is subject to revocation if the site plan, plat, or the intended use changes. The Imps
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
4- Date: 1-~,A o109 SEE ATTACHED SITE SKETCH
other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
tent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: i;> t ~t?.sOZ.1 PROPERTY LOCATION: M~ \nw(
SUBDIVISION UArWN%En- (3a-coy. LOT # °l
Facility Type: S G O <E~ S~ ❑ New X Expansion ❑ Repair
Basement? ❑ Yes7 No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C_pN-4 N F.(Initial) Wastewater Flow: 360 GPD
(See note below, if applicable
C1 c-4JEtv~~n rv r.1, (Repair)
Installation Requirements/Conditions Number of trenches `a.
Septic Tank Size s-ssN6 gallons Exact length of each trenchO feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 1Z inches
Maximum Trench Depth of: 20.1 inches (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: inches above pipe
Conditions: a > C s Cxts~ 4 e g01? E-y7' 1 H t=rj 1. a N s $ tr' f inches total
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**If applicable: / understand the Jyttem type speciTed it different tram the type .rpeciTed on the app/ication. / accept the speci6cationa of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation i 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 is subject to complithe ws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 'l< ~thorizatlion Date: %:I
Constrxpiration D ate: l
HTE# CFA a3~~ Permit #
Harnett (bounty Deprlrtment of 11~ibflc Health
Si to ketcll
PROPERTY LOCATON: ~u7e'~rswt?rt~
ISSUED TO: ~ouC~p„rtp ,~P. t\ SUBDIVISION la~ct cZ ~t~o~< LOT
Authorized State Agent:
(0L-iqE L
Date:
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