IPACHTE# Harnett County Department of Public Health 2 5 8 9 3
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Nos'r 0NG L-)
ISSUED TO: ~oflFa.E-j SUBDIVISION QQ J& LOT
NEW REPAIR ❑XPANSION I Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: M 0",4 . loo MG 1" - I ~
Proposed Wastewater System Type: a5'!uovG~~0N SYS-r •a.
Projected Daily Flow. 3Co 6 GPD
Number of bedrooms: _3 Number of Occupants: G max
Basement ❑Yes 4!! No
Pump Required: ❑Yes '„No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public X Well Distance from well t00 feet
Permit conditions: _ ti Ex.rs s~ e
Permit valid for:
Five years
❑ No expiration
Authorized State Agent:: "J' Date: ''t \b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the c
an of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
is subject to revocation if the site plan, plat, or the intended use changes
site i . The Imp nt 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, .19S2, 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 T0: ~~5 p, ~oo~~R E J PROPERTY LOCATION: 5 ~,NO~CU N~ L~
SUBDIVISION P-'0_'-VA _'5 LOT #
Facility Type: M eNo . uo r<_: New ❑ Expansion ❑ Repair
Basement? ❑ Yes "2 No Basement Fixtures? ❑ Yes X No
Type of Wastewater System** ~.S~~n R~ov c.Ct o N Sys-«` (Initial) Wastewater Flow: GPD
(See note below, if applicable
a~~o ~EOUCtU N S7S'~.~ (Repair)
Installation Requirements/Conditions Number of trenches %
Septic Tank Size t ooo gallons Exact length of each trench I%<) feet Trench Spacing: _C~Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: ya.. inches
Maximum Trench Depth of: S$ inches (Maximum soil cover slW1 not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Conditions: "4P~5 L~^tE Mvs< ~6 l(j~ Farr `J `c, Sy 5- (-_"\regate Depth: inches above pipe
inches total
**If applicable: /understand the jyrtem type specired it different from the type rpeci6ed on the app/ication. / accept the rpeci6cationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rev if the site p plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site, This
-Construction Authorization is subject to compliance v/tt to pr aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: RGxS Date: a~ ~(7
Const on Authorization Expiration Date: 3
HTE# VO ` a.3E,l-7 Permit #
narnett County Department of I'~ blic nealth
Site lk.,~'ketcll
PROPERTY IOCATON: S~•vos~ o 3C-- LN
ISSUED TO: Ect Gs Gooc=2 E SUBDIVISION LOT #
Authorized State Agent: Vb~Slb~~vEri'~o~ysooc~ Date:
1111
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On-Site Wad Sxdog Property ID:
Lot P.
SOIUSITL &VALUATION File A:
for ON,grm wAagww Code.
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Owner. Appiklet
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