IPACHTE# Harnett County Department of Public Health 2 5 8 8 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_ 1~1w-z 3.10
ISSUED TO: c~1 M ~t At C 2~ SUBDIVISION LOT #
NEW' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Cco w=--r \.,n ,v t
Projected Daily Flow: t-1 i GPD
Number of bedrooms: L 1 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Ld (J feet Permit valid for: five years
Permit conditions: ❑ No expiration
Authorized State Agent:: QiN5_ Date: 'A 10 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuat er permits. The permit hold r is re ponsble 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 Improvemen mit 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 shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: 5~~nr,y ~y ;may PROPERTY LOCATION: IA,,-l a,In
SUBDIVISION LOT
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? El Yes >~No
Type of Wastewater System** Co N-)EN 4 ~ "h,` (Initial) Wastewater Flow: Lt'QGPD
(See note below, if applicable
C-0 rvvErv ON p,lr (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size t o °d gallons Exact length of each trench 133 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: t inches
Maximum Trench Depth of. 91`1 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. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: \ ,.J r,:Er2 NE K~-s ~ - \Q} VAV M SE,e~ sG inches total
**If applicable: /under land the system type speciled is diNerent from the type specified on the app/ication. / accept the rpec1f1catioar of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to lion if It Ian, plat or the intended use changes. The Construction Authorization shat( not he transferred when there is a change in ownership of the site. This
Construction Authorization is iec to complia ith e sio e laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit, SEE ATTACHED SITE SKETCH
Authorized State Agent:
ZL-» Date: 3- ~ q
Authorization Expiration Date: ) 5
HTE# I C~ -S - 6 5~1 Permit #
Harnett Connty Wpailment of hiblic Health
S ite Sketch
ISSUED TO:
Authorized S
Nw~1a~v
PROPERTY LOCATON: ~~.w aA 0
Division DqwMuM ~ Haft and N Sheet:
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Lot d:
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