IPACHTE# Harnett County Department of Public Health 2 5 9 0 0
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: PROPERTY LOCATION: P~oC~ P~
y"N Q vc-svo"
SUBDIVISION e
NEWX REPAIR ❑ EXPANSION I
] "
; LOT 1 a 1
-
Type of Structure: S F p 56 'tS-o Site Improvements required pr
ior to Construction Authorization Issuance:
Proposed Wastewater System Type: Cor.vFrc~~a,v F, z
Projected Daily Flow: S(.0 GPD
Number of bedrooms: 3 Number of Occupants: ~a m
ax
Basement ❑Yes XNo
Pump Required: ❑Yes ❑ No ,May be required based on final locati
d
on an
elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t
Permit conditions: feet
Permit valid for: Five years
❑ No expiration
Authorized State Agent:: R~
e of this perm
Date: s0 SEE ATTACHED SITE SKETCH
The issuance it by the Health Department in no way guarantees the i rice of other permits. The permit holder is responsible for checking with appropriate governing bodies in meetin
site is subject to revocation if the site plan, plat or the intended use chan
es
their r
The Im
i
g
.
provement Permit shall not be affected by a change in ownership of the
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
g
equ
rements. This
site. This permit is subject to compliance with the provisions of
Construction Authorization
1Required 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: T cvt r Cor 4'5*c 2u CC SC )(-,j
PROPERTY LOCATION:
GOGI~
Facility Type: S V sa'x~0 ) SUBDIVISION ( ~0" ER- LOT #
New ❑ Expansion ❑ Repair
Basement? ❑ Yes
T f No Basement Fixtures? El Yes No
ype o Wastewater System N rr v ter; , o r-t n,c-
(See note below, if applicable
c1-:,~tiv c Note (Repair)
Installation Requirements/Conditions
Septic Tank Size 1 ~O gallons
Number of trenches 3
Exact length of each trench I 15 f
t
Pump Tank Size gallons
ee
Trenches shall be installed on contour at a
Maximum Trench Depth of.. `a,Lj inches
(Trench bottoms shall be level to +1-114"
Pump Requirements:
ft. TDH vs.
in all directions)
GPM
(initial) Wastewater Flow: ~~oC7 GPD
Trench Spacing: Feet on Center
Soil Cover: I -a, _ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions: \J>x-,~v Aggregate Depth:
E~71G YSTE't`
inches below pipe
inches above pipe
s~ inches total
**If aoolicable /understand the rystem type specired is different from the type specified on the application. /accept the specifications of thi permit.
Owner/Legal Representative Signature:
This Construction Authorization is sub a Date:
j tattoo if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred w
Authorization is subje to compliance isi hen there is a change in ownership of the site. This
Construction "t vo f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this ermiL
P SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: -
ons Sion Authorization Expiration Date:
HTE# I p - 23~~ Permit # al5q Q >
Harnett Comity Department of Public Health
Site 'sketch
PROPERTY LOCATON: ~\ncoc x- S,
ISSUED T0: /,4 ~v _ r is 1 vc-c tc) t.j SUBDIVISION P~ o. ~rtaczc•• LOT
Authorized State Agent: S uv 'r"oogsoO Date:
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