IPACHTE# ►d-~~-a3-~~3 Harnett County Department of Public Health 2 5 8 9 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N wy
ISSUED TO: V oC) sr~` C1l SUBDIVISION t ~~~,y Poste ~C- LOT #
NEW REPAIR ❑ -kXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: R; `
Proposed Wastewater System Type: alb R~a~~b~ Sys
Projected Daily Flow: 3bb GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: []Yes El No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well IE;~7) feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: N-"., V4-,Ylr Date: G C? _ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees thee r e of other permits. The permit holder is res onsible 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 Imps ement 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: ~crvR~C~A~t \~o MEs~.~~ PROPERTY LOCATION: Nwy a-1
SUBDIVISION 1 N~~N ~o N LOT # 90
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ~ No
Type of Wastewater System** ~SOlo R-Duc7N-W N (Initial) Wastewater Flow: GPD
(See note below, if applicableX)
015°l0uctoN ~ys~Cr'~ (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size S O 0 gallons Exact length of each trench S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 46" inches
Maximum Trench Depth of. 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
Conditions: "r~L N vs , e E ~0 CTn tY, S
pS t L S')5-4 E" I
Aggregate Depth: inches above pipe
inches total
*If applicable: / anderstand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, 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 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: tz>5 Date: D- Za
ction Authorization Expiration Date: 2, a6
HTE# ~O ~3 ? Permit #
Harnett Connty Department of 1'1zblic nealth
Site Sketch
PROPERTY LOCATON: x-sy X'
ISSUED T0: ~rn ~c och ~t SUBDIVISION i a~G, } Po t LOT # c)O
Authorized State Agent: L C,~ -Tot yst) Date: 3 6 ~ } O
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