IPAC RRHTE# 0'7-Ste- 1Y 7~ Alarnett County Department of Public Health 2 4 6 5 4
9R
Improvement Permit
A building permit cannot be issued with only an, Improvement Permit
PROPERTY LOCATIO Z
ISSUED TO: ¢~x f 1 W A A SUBDIVISION PLC I :Z ~ jj h ) LOT #
NEW-E4- REPAIR C1 EXPANSION C1 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: - 4%-( 1 3 Q,-, -S 0 Proposed Wastewater System Type: 3 -
Projected Daily Flow: PD
Number of bedrooms: '-"'N Number of Occupants: -(1 max
Basement ❑Yes kNo
Pump Required)?IYes ❑ No ties
Type of Water Supply: ❑ Community P Public ❑ Well Distance from well feet/' Permit valid for. ~1 Five years
Permit conditions: M< c ~ c0n~ 1 to ajil?AA-S ❑ No expiration
S-.*nI_ L,, 7 L., nI n.~.,. t _ nt rs_ _
Authorized State Agent: Date: 6,;2 Qj - J SEE ATTACHED SITE SWU
The issuance of this permit by the ealth Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodice in meeting
their requirements. This site is so t to revocation d 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, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be
installed in accord nc with the attached system layout.
ISSUED TO: H Cs-21 1-7 PROPERTY LOCATION:
SUBDIVISION LOT # IT
Facility Type: Y, New ❑ Expansion ❑ Repair
Basement? ❑ Yes 5t, No Basement Fixtures? ❑ Yes R No
Type of Wastewater System** -4 Z Ili rc/ j_(Initial) Wastewater Flow: ~c J GPD
(See note below, if applicable
-~Q Q (Repair)
Inst~ion Reyairone~/CortdititHts
Septic Tank Size J90 gallons
Pump Tank Size I -,-Q L-3 gallons
Pump Requirements: h. TDH vs.
Conditions:
Trench Spacing:_ Feet on (enter
Soil Cover- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
"If applicable : l anderrtand the ryrtem type specified If dihrerent from the type specified on the application. / accept the rpeciGcations of thir permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan. o12L or the intended um rh2noec Thn rm,t-ti- Auth-i„t~- A,ll he 1, _k_. L_._ - ,t____
of the site. This fonstruction Archon subject to compli ce with the provisions of the Caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SttE 9M
Authorized State Agent: Date:
fonstruction Authorization Expiration Date: Jj _3
Exact length of each trench X a2.-feet
Trenches shall be installed on 1contour at a
Maximum Trench Depth of J9 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
HTE# Permit # -2 '-11, ) T
Harnett County Iepailment of Bibl is Health
Site Sketch
PROPERTY LOUTON: Z
ISSUED TO: ~ n dt SUBDIVISION (1? J LOT # .I-
Authorized State Agent: Date: dot-
S
S lA7 f~ ~ c~`
fr-) '