IPACHarnett County Department of Public Health 2 4 4 3 8
Improvement Permit
PROPERTY LOCATION:Zff //c/YIWI-e,7~ S' /C CJ
ISSUED TO/~[~s/ [~US}/~,, SUBDIVISION._. LOT # 3
NEW (d REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 2; F&
Proposed Wastewater System Type: ZS'VZePQ T/rJ
Projected Daily Flow: GPD
Number of bedrooms .3 Number of Occupants: ~O max
Basement ❑Yes d No /
Pump Required: ❑Yes El No C~"Ma a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f Public ❑ Well Distance from well feet Permit valid for. years
Permit conditions: ❑ No expiration
Authorized State A Date: SEE ATTACHED SUE SKETCH
The issuance of this the Health Deputrnent 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 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 .1 958, .1 9S2, .1954, .1 M, .1956, .1951, .195& and .1959 are incorporated by references into this permit and shin be met Systems shall be
installed in accordance with the attached system layout.
ISSUED T0: .SPV4r'/ /34, t,(~e c,s .Z,JL PROPERTY LOCATION:
SUBDIVISION LOT
Facility Type: SFA 2' New Expansion 11 Repair
Basement? 11 Yes No Basement Fixtures? ❑ Yes Z No
Type of Wastewater System*" .2 "m r4-7zi0C"4I) (Initial) Wastewater Flow 3&C) GPD
A building permit cannot be issued with only an Improvement Permit
(See note below, if applicable
_Z~a fZiebllzSI6J /S+-..~ (Repair)
Imblation Wkneett/Condi6ons
Septic Tank Size 120 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of eactrench / Z feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: - . (3 inches
(Tren(h bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing. 9 feet on Center
Soil Cover. - inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions:
Aggregate Depth:
inches below pipe
2 inches above pipe
/2, inches total
"If applicable: / andentand the system type fpeciTed if different /rom the type fpecified on the application. / accept the fpecifications 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 tramlie red when there is a change in ownership
of the site. This Construction Authorization 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 ent. Date: 2 -ZS =U g &d!!2212!4~- Constructjon Authorization Expiration Date: Z -7s = i3
HTE# 47 ' 5- " 16'1 5-8 Permit # -?I/V 9
Harnett County Department of I iblic Health
Site Sketvh
PROPERTY LOUTON:_W 1'1VS 1,5~7/<ZA)L
ISSUED TO: -5/1?2~1 /3dt~c>'e i3 ~ SUBDIVISION 115- LOT #
Authorized State Ag Date: t 2 OG
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