IPACHTE# /o -~5--z zs Harnett County Department of Public Health 2 5 71 8
Wrovement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION:~I/y/8 yoe-, /06
ISSUED TO: - 547ia 9- SUBDIYISIO s LOT #
NEW ❑ REPAIR ❑ EXPANSION ❑ rte improvements required prior Construction Authorization Issuance:
Type of Structure: X .ST /&fjt, -16 2eglifl_
Proposed Wastewater System Type: 2S°/a /Z6-00~ Q
Projected Daily Flow: Z46 GPD
Number of bedrooms: 7-
Basement ❑Yes Z No
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Nu/Ma ber of Occupants: max
be required b ed on final location and elevations of facilities
Public Well Distance from well / 400 ` feet
Permit valid for:
2 Five years
❑ No expiration
Authorized State Ag~ Date: /y -1 SEE ATTACHED SITE SKETCH
The issuance of this permit b 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 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, .1957, .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: PROPERTY LOCATION: -5--~/fig Z a
SUBDIVISION LI 1 G~~T~-rs LOT # 3-
Facility Type: ~6bit 117,Ct [ New ~E ' Expansion Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes I' No
Type of Wastewater System** ZS% a 9g 97 s-,,) a,~,l s~ (Initial) Wastewater Flow: Z16 GPD
(See note below, if applicable
Installation Requirements/Conditions Number of trenches z
Septic Tank Size Jby a gallons Exact length of each trench / z o feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shali be installed on contour at a Soil Cover: _('I'_ inches
Maximum Trench Depth of. Z6"'4--y 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: 2- inches above pipe
Conditions: /L inches total
**If applicable: / underrtvd the ryjtem type specified it different from the type rpecifed on the app/ication. /accept the rpecificationr of this permit.
Owner/Legal Representative Signature: Date:
"11. ---"'-1" -1-1- 11- a asotcbt to ~vVl6L1U11 II L11 dlle piau, pia, ui Lite mrenoeu use changes. lue Lonstruchon authorization shall not he transferred 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 Age
4Date: Z - //--10
Construction Authorization Expiration Date: 2- -i& - / 5--
HTE# /U -5-- ZS 7Z t5- Permit # 5 7 / 6?
Harnett County Department of n-tmic Health
Site sketch
PROPERTY LOCATON: <S4 l laL& a
ISSUED TO: Ji9-~- 41ZG ~G,4Vr,J SUBDIVISION (2 2 LOT # 3
Authorized State Age .Date:
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