IPACHTE# a3;-) s7 Harnett County Department of Public Health 2 5 9 0 2
Improvement Permit
A building permit cannot be issued with only an Improvement P~ jrmit
PROPERTY LOCATION:
-A~ta~EC"L ~-t
ISSUED T0: A'4c SUBDIVISION "Aka- ,vT QAL,,v, LOT #
NEWyX REPAIR ❑ EX NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ii?v o t °~a ucStoN
Projected Daily Flow: LNR O GPD
Number of bedrooms: -~tNumber of Occupants: max
Basement ❑Yes X No
Pump Required'xYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the rice
site is subject to revocation if the site plan, plat, or the intended use changes. The Imp
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date: '~'l --)rI la SEE ATTACHED SITE SKETCH
of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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 T0: C.LMt>~It~1N~ LNG PROPERTY LOCATION: L
SUBDIVISION \,r ALN VT G 12014 E LOT a3_
Facility Type: _ FS7 3J New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement fixtures? ❑ Yes No
Type of Wastewater System' P u me Flo Q..F o t-4 (Initial) Wastewater Flow: GPD
(See note below, if applicabl
~Ut~te 7-Q ~~a ~UGCS~N (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 10 no gallons Exact length of each trench a.O O feet Trench Spacing: Feet on Center
Pump Tank Size 1(n<DQ gallons Trenches shall be installed on contour at a Soil Cover: $ - l inches
Maximum Trench Depth of. aO-3G inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: W 4,:Gc2- L, - inches total
`"If applicable: / understand the system type specified it different from the type .rpec16ed on the app/ication. / accept the ,rpeciicationr of this permit.
Owner/Legal Representative Signature: Date:
Thic r-t,-mn durh-i-i- + A;- . a - .
- - r • r- ~ 'It ~nan%- It UIMMUIVII eumonzauon snap not De transterred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with isions the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: G-~S Date: a ~ b 1a
Const on Authorization Expiration Date:
HTE# I d-S-a-3~5-j Permit # ~)sgC5l,
Harnett Connty Depailment of Public Health
Site Sketch
PROPERTY LOCATON: t--AS~~Es- Qv
ISSUED T0: i-ch~~o ~Lfl~a~ SUBDIVISION \-~oLrvyS C aggE LOT #
Authorized State Agent. v ►s Or.wfxL "S of cif Date: ~1)4r)
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