IPACHTE#,o--S'- Z3775- Harnett County Department of Public Health 2 5 7 2 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: / 7757 ~'rs
ISSUED T0: U C~ / SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION C~ Site Improvements required prior to (onstruction Authorization Issuance:
Type of Structure: E X SfU'
Proposed Wastewater System Type:
Projected Daily Flow: tz 3c GPD
Number of bedrooms: _Y Number of Occupants: max
Basement ❑Yes ❑ No
Pump Required: ❑Yes ❑ No Z Ma, required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L!1 Public ❑ Well Distance from well feet Permit valid for. 2- five years
Permit conditions: ❑ No expiration
Authorized State Ages' Date: Z- /Y- /O SEE ATTACHED SITE SKETCH
The issuance of this permit 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 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: '5~7yC'~- 4 PROPERTY LOCATION: S /77,s - ('Cr~~ ,ZQ
lInExpansion IVISION C,'" G C08 PIL LOT #
Facility Type: ~ Sf'D ❑ New ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Yrd ~~.ealb >bhcP (Initial) Wastewater Flow: 12<3 GPD
(See note below, if applicable
Installation Requirements/Conditions Number of trenches
Septic Tank Size lZdo gallons Exact length of each trench Z-'y feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 15-f- inches
(Trench bottoms shalt be level to +/-1/4»
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: 1~2x inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
A6~ inches below pipe
inches above pipe
inches total
**If applicable: / undermfld the system type specified is different from the type specified on the app&,iition. / accept the specifications of this permit.
Owner/legal Representative Signature: Date:
This Construction Author6nrin is mhiort rn --ti- If 1ks . ~1- X11. ,...6. T- I
r-" - .••~,•b~~. ~muu uumu -IU-naon 111411 nut ue ❑ansrerrea wnen mere is a mange 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 Ag /r>x Date: ~-/7 /4
Construction Authorization Expiration Date: Z "
HTE# - Z 3 -7 -1 S-- Permit # _2 ~5 7--.2 U
Harriett County Department of M-tblic Health
Site Sketch
PROPERTY LOCATON: / 7-7 s' GQ ~r~ c c _ f Q
ISSUED TO: s~ Azrl iJ SUBDIVISION C.,(,.~_.~ LOT #
Authorized State Agen 2 1 'l Date: Z/5 -16
UN C6jr' k C- X L-5 b- T3 OX
C 1 G t v / - f~ lZ~e o u..~ l- ~.J Ea7 T/5~l tb
P,?-+X- e 1, w r~~ u ~
-T7F feus cl
5
5
bib
oar