IPACHTE# ► o -5 ` 'R Harnett County Department of Public Health 2 5 91 9
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: RP'9-* S Q'D
ISSUED TO: SUBDIVISION NS 1, &;:0 c4p
LOT # 5a
NEW REPAIR CJ ENSION Li Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SAD ''l~
Proposed Wastewater System Type: Pu F,t Ta Ny 6r 0 r4 L
Projected Daily Flow: 3~b GPD
Number of bedrooms: 3 Number of Occupants: (o max
Basement ❑Yes X No
Pump Required: 'Ms ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well 16C? feet
Permit conditions:
Permit valid for: Five years
❑ No expiration
Authorized State Agent: Ql~w` Date: ao I D SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other e 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 sha 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 T0: gl-RL`~`^tF.~.t ~1c~t it=s PROPERTY LOCATION: ~AaX
SUBDIVISION N5r1C.Fo2D LOT # 5d
Facility Type: S~OCG~cs nC~O~ K New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System*" PU MP -7-0 C.41--1 f-sv c~ ~ N P.L (Initial) Wastewater Flow: 3-Cj GPD
(See note below, if applicable
PU -)e o C ci~'JGP c tON NL- (Repair)
Installation Requirements/Conditions Number of trenches 'J
Septic Tank Size t o - a gallons Exact length of each trench "1 S feet Trench Spacing: Feet on Center
Pump Tank Size t b 0o gallons Trenches shall be installed on contour at a Soil Cover: 1, of inches
Maximum Trench Depth of. -3 L 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: inches above pipe
Conditions: ATE i`s E M USt L ~b ~QE„ Shy t t~ `j~s «.r~ 1 inches total
If applicable: /understand the ryatem type specified it different from the type rpecired on the app/ication. /accept the rped1cat1onr of thin permit
Owner/Legal Representativ i nature: Date:
This Construction Authorization is subject to revocatm a site pla , 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 bject to ompliance wit ro he and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 1~ +45 Date: 3 q5151t Con
structio thorization Expiration Date:
HTE# I d - 5 Q3`? Oil Permit # ~ 1
Harnett ('ounty Department of Public Health
Site sketch
PROPERTY LOCATON: M~.s
ISSUED T0: ~L~~-G-`~L- SUBDIVISION AS~~F ~ocLp LOT # 51'-)
Authorized State Agent: ~as6llNv6fL- `ToL-V-so Date: 3 110'~~
1c,
r
SC SE
l~2
4c,
x
v ~
ao' suv~Ly t ~~E hor~
LVIS ,
D Dopwbnft of~ Haft N Sheet:
On-site wad Section Property ID:
Lot
SOELAJM 19VALUATION File for ON-Snit WAMWATKR SYSTZM Code:
P, FaciUW. LAcadon o( .3~c~36X, .
Dedp Flow hmmb►Sim
w 0 bwii*Ad []wen p spins 0 Other
Type of Wes` se"'p 13 wmwd
Proow IVBzed
r
R
O
t .194e SOIL.l~Y omm
milli lAt'[~OR>t
a ~
! .191 sea .
x T 1941 , Wdawl 19~ct 1
M-6ftleff COW- see sqm
tlxl
P
A%" Ae
Rw ICU
tvl c sg tv~
„1 x_36,. ~ 5 N3~
36-y~ F2 ss1MP
L
~ U~3 ~ v S VFn,. ~ ~
Site ClaaiBcadoo (1948)
..2% EnhoW By Q C
s . O&n plena -
05
PS
BPS
3~-`7~ 2 d~-~6