IPACHTE#~~ ~-=2 3 Harnett County Department of Public Health 2 5 8 2 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: C cs.y 4 c 'u G c~'cd SUBDIVISION LOT # f 7a2
NEW V REPAIR ❑ . EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF 1) -f8 X48'
Proposed Wastewater System Type: -~e,t
Projected Daily Flow: _ C GPD
Number of bedrooms: _ 41 Number of Occupants: max
Basement ❑Yes 1rNo
Pump Required: ❑Yes 2"'No ❑ Ma. e required based on final location and elevations of facilities
Type of Water Supply: El Community g Public ❑ Well Distance from well feet Permit valid for. 2T Five years
Permit conditions: ❑ No expiration
Authorized State Agent: zc-r ff/ Date: /2612-eld SEE ATTACHED SITE SKETCH
The issuance of this permit by 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, .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: C c.✓' -tea c>Jcc f~ l~~ e,~ PROPERTY LOCATIIOrO~~:
/ SUBDIVISION r1r'<ri- G,rr LOT # l 7Z
Facility Type: ~
lr~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" eC) G' -S-V r/",
(Initial) Wastewater Flow: GPD
(See note below, if applicable ~
C2. /yy 7' ~~ccE v c~ , v J 1jr ~cti (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 000 gallons Exact length of each trench 80 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: c2a inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Trench Spacing: 9 Feet on Center
Soil Cover: 8 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: Inches above pipe
14
Conditions: ~.A?,J- SIA
J( S-Q+ i6r"clef 8vbt~ inches total
e•1 J [Cec~. t ~e;~ fti~ s r~~a. c ",re. r c,I~tr.r
&Z C~ Jgi- ~:.1e but e /Gf~- c ~v ct7 ~e : t rye .t
* If applicable: /understand the system type speciled is different from the type speciled on the app/ication. / accept the s ecilcations of this permit.
Owner/Legal Representative Signature:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes.
Date:
Construction Authorization shall not be 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 Agent: AL/ Date: 2- c. Cl G
Construction Authorization Expiration Date: ~2- 6 2a jIr
HTE# /C-.5-- 02.E Permit # cZ~~~~)
Harnett county wpali,nlent of Public Health
Site Sketch
PROPERTY IOCATON:
ISSUED T0C Qv-, -e-.fr y,10,0- k SUBDIVISION LOT #
Authorized State Agent:,,LL q, s xe-e- Date: .Z a!
6 ~,_v V I, ed-
Dgmt nM of EavimunwO, Health =d NaWW Ramnu
Division of Eavimnmeaw Health shat:
On-Site Wasdewma Sees Pro" ID:
Lot
SOWSM &VALUATION File
for ON-SITi WASTEWATCR SYSTIcM Code:
Owner: App;
Addrw: DO Evaluated: z
Pr FocW. I.v
cad o(Sile: Property Rreoo ded; r Property Slze:
Water Supor. p 0 p weu tun p slams p other
Evahladw M Method:
Type of wapewatQC; t
9 p p I Process Mixed
R
O
P
I 1940
L IJed~e.e. 6-
* I Stop I
c-3J
1
WL MORlInAoy .190 .1941 C 1~94~1 son 1931
swach"
.1944
i LTA
-3 1!
r nf~~ t ✓tt
f s`
s"
Site Ctadit (jl94ak f'f
E"hoW By a-~
O& n A+en*