IPACHTE# O~-S I~p~ 4 Harnett County Department of Public Health 24518
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: NC~"2,
ISSUED TO: ~P (1 a 8ocz MLA SUBDIVISION _DsX, ~ ~t~y,n ~ Luc ~ G ~s -sc1vs LOT #
NEWX REPAIR EXP NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Inc O . a `1 4 1-1 ti
Proposed Wastewater System Type: C.nNs., 9. L
Projected Daily Flow:. 3ro0 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes $I No
Pump Required: ❑Yes 'K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community in, Public ❑ Well Distance from well lC~(D feet Permit valid for. five years
Permit conditions:
❑ No expiration
Authorized State Agent: Date a s b$ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaran 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, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shag be met. Systems shall be
installed in accor rice with the attached system layout.
ISSUED T0: ATM H acy?,oB ~0 r- PROPERTY LOCATION: V, Lc a
SUBDIVISION Orxss.'NpTUr, L`UG\L~ W,~~,y5 LOT # .1
facility Type: Chop U-71 x1- l-~ X New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~K No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** Cc, \ o N >at (Initial) Wastewater flow: 3(00 GPD
(See note below, if applicable
U ~~'s, ati 1~, re,~c sv S E -NN (Repair)
In!410pn Requirexuettts/Conditiau
Septic Tank Size io(5o gallons
Pump Tank Size gallons
Pump Requirements: h. TDH vs.
Conditions:
Exact length of each trench _.ao V feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: a4 inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing feet on Center
Soil Cover. I inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
2 inches above pipe
a. inches total
"If a 6cable: !understand the rystem type specked /s different /rom the type speciled on the appbcwon. / accept the Jpecfkati= of thin permit
Owner/legal Representative Signature:
This Construction Authorization is subject to rero
of the site. This Construct' or twn is su
Authorized State Agent:
Date:
plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership
th the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SKEETCH
S Date: 48
Cons ction Authorization Expiration Date: a
HTE# Permit # 1-4 5
Harnett County Depart Relit of 1- ~tblic Health
Bite Sketch
PROPERTY LOCATON: C_ 0-41
ISSUED TO: ` to¢ SUBDIVISION C),-,,,r. Vic,. - LOT # 1
Authorized State Agent: -6L5 Date: ► ) 0,$
2b-E oc~
GG
V L-'CR4Sj i Ca I y~W
~YAiEL
3s ,
v
t 3►' E