IPACHTE# 07175-M~4 Harnett County Department of Public Health 24519
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NCG H'`l 55 E
ISSUED T0: G0'SB-,- L~ M4~~av~ LE r~,SPa~K C-v¢w SUBDIVISION 8zr,6e LOT #
NEW,K REPAIR ❑ EXPANSION ❑ r Aooeow Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C., ~QC..-1 (5dx ~ ~
Proposed Wastewater System Type: owe-r~,__ W w~ N1A~Arf~ 0Vro0
Projected Daily Flow: I lk-o Q GPD
Number of bedrooms: - Number of Occupants: x930 max
Basement ❑Yes ~ No
Pump Required.gYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1C> feet Permit valid for. , Five years
Permit conditions: N1t~~ ON S sTL- -T`o tvna_1 zE Otz ta~+v~,t1Lfl L ayo~ ❑ No expiration
Authorized State Agent: QS Date: a1 110? SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guars a 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, .195E, .1957, .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: ~o~eE~ Tao~~N~c,s: N,s~hv.<, vsi~H PROPERTY LOCATION: ~JC µ"4y SSE
SUBDIVISION $I_~vE . -Cvcu~ N -Too LOT # Lt
facility Type: Cstucc,~ ~,,sv t N 56"14Q) New El Expansion 11 Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes X No
Type of Wastewater System** CoNvE~ ,oNt~~ ~l (Initial) Wastewater Flow: 40 C) GPD
(See note below, if applicable M ft~t,,EC
(14s+vE~vGsa No.>_ (Repair)
InsWbfion kquirettttmts/Coeditions
4- -ret,ENG..&S
Septic Tank Size aaO'Z> gallonse" w' Exact length of each trench a'~5 feet Trench Spacing: Feet on Center
Pump Tank Size _ t 500 gallons n,Trenches shall be installed on contour at a Soil Cover. 6-al1 inches
Maximum Trench Depth of: I'g - 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. 5,~, GPM inches below pipe
3l• ,
Aggregate Depth: a inches above pipe
Conditions: f'1a cwz~ ~es~~ st 4 5L ~ Vpav~g a"sosztb I le& 9- fe~ss~a Hy,p inches total
**If applicable: / understand the system type Ipecifled is different from the type specified on the app/ication. / accept the speci&.1vonr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization ism o rev on 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 Authorization mpliance 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. ZS Date: 2 T ag
Construction Authorization Expiration Date: s t3
NTE# 0-1 --S ' Y~`1\4
Permit # D'4 S
Hal"tett County Iepailment of hiblic Health
Site Sketch
PROPERTY LOCATON: NL\lwy 55E
ISSUED TO ~i ,cur ~3~ct EI~s<Ar~ G.uara SUBDIVISION P. LOT #
Authorized State Agent: R ~0L-NvfrL.'co~v52LQ~ Date: -.)j J61
p~ J C.a ..r v E,'v , ~ o cr A t.. -r.
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