IPAC RRHTE# ()7-SA-l a 3~ R2 Harr ea County Department of Public ntalth 2 4 6 6 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 11o s
ISSUED TO: Ccw-~SUBDIVISION LOT # Z.-
NEWJ~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ~Cb - 2 - 3
Proposed Wastewater System Type: bona ~ rz P" c
Projected Daily Flow: 3G O GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 19 No
Pump Required:Aes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Pub c ❑ Well Distance from well D feet
Permit conditions: e ( Ln ~-%A ra G
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Permit valid for K Five years
I~tG+i ❑ No expiration
2 ` /l'qpr-a V, r( C'b Ve'-c
Authorized State Agent:: ' I (11 1 Date: 0.3 - / L/- 0 y SEE ATTACHED SITE SKETCH
The issuance of this permit by t 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 4 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, .1955. 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: ~~►n~,2 C PROPERTY LOCATION: 130j-
SUBDIVISION LOT # 2_
facility Type: 30rt - 7J-,x J--3
New El Expansion ❑ Repair
Basement? ❑ Yes -;a-' No Basement Fixtures? ❑ Yes `FZNo
Type of Wastewater System** PuG(,-, A-.I f (Initial) Wastewater Flow: 24-> GPD
(See note below, if applicable~t7} /
(Repair)
Insthtion Rquimnients/Conditions
Septic Tank Size 0 O gallons
Pump Tank Size O U gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench / j VJ-> feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: / d, inches
(french bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 7 Feet on Center
Soil Cover 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
2 inches above pipe
T_ inches total
**If applicable: l understand the system type speciTed is different from the type speciTed on the application. l 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 Construction Authorization shall not be transferred when there is a change in ownership
of the site. This Construction Authori 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 Agent: Date: Y-
~
7 Construction Authorization Expiration Date: - j q '20
t
HTE # op 472 k 2 Permit # 2~4
Harnett County I elmi-tinent of Mimic Health
Site Sketch
JJ PROPERTY LOCATON:~ ~OS~
ISSUED TO: Jet(n SUBDIVISION LOT # _
Authorized State Agent: Date:
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