IPACHTE#1o--5- 23C~p 5- Harnett County Department of Public Health 2 5 7 2 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION:4?/853 /j'1,g W IZb
ISSUED Tq~iZAd~ey .5 i~~cc,2 SUBDIVISION,zo„( ,Qal s LOT # _7
NEW [ REP ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure. ~,Oc.CA GIe or7r-t4 B4W_ n_
Proposed Wastewater System Type: 23% Z5Pa;~~
Projected Daily Flow: /oy GPD
Number of bedrooms: -Number of Occupants: - max
Basement ❑Yes C7 No
Pump Required: ❑Yes ❑ No L/M be required sed on final location and elevations of facilities
Type of Water Supply: ❑ Community Public Well Distance from well ,/00 ' feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 3 - I c7 SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth 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 T0:rl~~,~~ PROPERTY LOCATION:-,-
SUBDIVISION Ca~uts~l,Q~a,.s LOT # _ 7
Facility Type: 4s C3 /New ~ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes L~] No
Type of Wastewater System** Z5 X 7ACbo (Initial) Wastewater flow: GPD
(See note below, if applicable
MAs,ck6-k 4z, Z;F% /UVZ0014A) (Repair)
Installation Requirements/Conditions Number of trenches Z
Septic Tank Size /aoo gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of 12 a/ 8 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: Z inches above pipe
Conditions: ~?ML~ R't' z 2 /d vdr qQ 4b " /z- inches total
**If applicable: /under land the ystem type specified is different from the type specified on the app/ication. /accept the rpecircationr 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
Lonstrucuon Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Dismaal and in rho rnndirnn< m rh;, -_;r CSC ATTArurn ClT[ cut:Tru
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Authorized State Age Date: 3 - I I b
Construction Authorization Expiration Date: 3 - it
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Harnett County Depar(ment of Public Health
Site Sketch
PROPERTY LO(ATON:Jkf/f' S- ~j /t-13
ISSUED TO: ~.t /~aCle4, 5 .4,r SUBDIVISION o,;,z,gc,~, LOT # 7_
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Authorized State Age Date: 2-1-10
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