IPACHTE# O`1-'5r Harnett County Department of Public Health 24514
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED TO: Mtc2~rlIM:t_
Not_t_rl_~_
PROPERTY LOCATION: Kw'+a,10S
SUBDIVISION SP2P~,1 t_, c~)-,Q.,c,~~AnO LOT # 1
NEWX REPAIR ❑
EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S;~9 (16~~~6"~
Proposed Wastewater System Type:
Comet=N ;tio~Al
Projected Daily flow: L+ 4B
GPD
Number of bedrooms:
Number of Occupants: _
max
Basement ❑Yes A No
Pump Required: ❑Yes ~.No
❑ May be required based on
final location and elevations of facilities
Type of Water Supply: ❑ Commun
ity X Public ❑ Well
Distance from well x()0 feet Permit valid for. five years
Permit conditions:
-
❑ No expiration
Authorized State Agent::: ~ 7~ (ZS Date: I!'+1 b,$ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarante 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, .19S4, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shag be met. Systems shall be
installed in accordance with the attached system layout
ISSUED TO: ~'1 c H g~t- Ho m A PROPERTY LOCATION:
SUBDIVISION SP C t%4 ` aG~c.~v,. tr> LOT # 1
Facility Type: CJ~fl `7~~n New ❑ Expansion ❑ Repair
Basement? ❑ Yes ~N No Basement Fixtures? ❑ Yes No
Type of Wastewater System** C.o" \or4 ,,,L. (Initial) Wastewater Flow: yid GPD
(See note below, if applicable CC5 H Eti a N K (Repair)
Iri tulution Requiretnellts/Condi(ons
4 qo_e j raES
Septic Tank Size I C)Q) gallons Exact length of each trench 8D feet Trench Spacing: ~I feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover f inches
Maximum Trench Depth of a4 inches (Maximum soil cover shall not exceed
(Tren(h bottoms shall be level to +/•1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
I- inches below pipe
Aggregate Depth: a inches above pipe
12k inches total
**If applicable: l understand the ryrtem type fpeciped is different from the type Jpeuted on the application. I accept the rpeci(cationl of this permit.
Owner/Legal Representative Signature: Date: at, or 11113
Lonstruction
change in ownership
site. " This ' Construct dnon is
of he u Laws changes. and Ruls the
ornation is A cat t u t `tote`~with pthe provisions intenied
Sewage Treatment Authorization
and to he transferred conditions there of this permit
of th
and Disposal not
SEE ATTACHED SITE SKETCH
Authorized State Agent
Date: \1 N`+ 07
ruction Authorization Expiration Date: S L3
HTE# O'1- 1 ~ ti41 Permit # aH 514
Harnett County Department of hiblic Health
Site Sketch
PROPERTY LOCATON: N- --1 05
ISSUED TO: f ~Gt~P~L Ho LLG,eV_~ SUBDIVISION San
Authorized State Agent Q S ~o a vicz`Yo L- Date: ► 0~
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