IPAC RHTE# V SJ~ I `l 32x Harnett County Department of Public Health 2 4 4 7 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION: NC a-
ISSUED T0: ✓ ~1r1 SUBDIVISION LOT #
NEW I~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: "q y x~ 2 - rJ
Proposed Wastewater System Type: _2f- *J,_E'ja a • c ~y_T ~c ,
Projected Daily Flow: 3 L GPD
Number of bedrooms: '3_ Number of Occupants: _ max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No -Vmay be required based on final location and elevations of facilities
Type of Water Sup I . ❑ Community 151Public ❑ Well Distance from well J ' feet Permit valid for. 'Z Five years
P~{mit conditions:i U3 os-A 1~^t•~ 9,~1 r- ❑ o expiration
rs S7 c i Z S- r _J_nt t ~c ) r
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Authorized State Agent: _ Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by a 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 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 taws 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, .1957, .1958. and AM are incorporated by references into this permit and shall be met. Systems shall be
installed in accordan with the attached system la ut
ISSUED T0: L'C' c'_ J PROPERTY LOCATION: C ~
SUBDIVISION , n LOT # 9
Facility Type: S~n - `IY$ 3 2 3 BR New ❑ Expansion ❑ Repair
Basement? ❑ Yes )LL No Basement Fixtures? ❑ Yes 0 No
Type of Wastewater System** i'ivA,., ("";L
(Initial) Wastewater Flow: GPD
(See note below, if applicable ~
(Repair)
InsWation &1gvirettt nWConditions
Septic Tank Size 00U gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench I Y~ QQ Y_ - feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: __,j_2 inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
GPM
Trench Spacing _ feet on Center
Soil Cover._ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
"If applicable: ! andeutand the .ryftem type roecided it different /rom the type specified on the application. / accept the rpecifcationr Of this permit
Owner/legal Representative Signature: Date:
This Constnurinn Authnrinflnn n -6-t t
- - - r r,-, - 11,1 - iuo s.m11trucu0a Aumonuoon snap not De transferred when there is a change in ownership
of the site. This Construction Authodution is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal aid to the conditions of this permit.
SEE ATTACHED SITE XTCH
Authorized State Agent: ` t Date: 0
Construction Authorization Expiration Date: 0
HTE# -I L12 3 Z (L Permit # ,.,?114
Harnett County Department of Aiblic Health
Site Sketch
y PROPERTY LOCATON: C
ISSUED TO SUBDIYI9ON 1 A/ n J ,n LOT #
Authorized State Agent k;_1 Date: O
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