IPACHTE# ~ o Harnett County Department of Public Health 2 5 9 2 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: SUBDIVISION i~Sy FV LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S~t0 ~t O
Proposed Wastewater System Type: Pu-P-'S'o a-'~/e PgpVe:7~tclN 'It;sEn.
Projected Daily Flow: L"fJb GPD
Number of bedrooms: `ir Number of Occupants: max
Basement )4Yes ❑ No
Pump Required:),Yes ❑ 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: _ '::7~ ❑ No expiration
Authorized State Agent:: Q~~ Date: 3115\0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of ott ermits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat, or the intended use changes. The Improvement Per shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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 TO: ~r.P+c.cwrca t-- ~,t;S PROPERTY LOCATION:
SUBDIVISION Suc~c.~a Lg~,x&s LOT # a10
Facility Type: Liir, x535, New ❑ Expansion ❑ Repair
Basement? E$KYes ❑ No Basement Fixtures? X Yes ❑ No
Type of Wastewater System" Qu rye ~0 2.5o RED V C,-ss o NJ SySSE~ (Initial) Wastewater Flow: 4 4 O GPD
(See note below, if applicable
CX (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size loo o gallons Exact length of each trench 40 feet Trench Spacing: 9Feet on Center
Pump Tank Size too O gallons Trenches shall be installed on contour at a Soil Cover: (v - oV~ inches
Maximum Trench Depth of, n -3g inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions: L~, v5 S g 10 r~aor ~jsG~J' y5-cE a~`~i~ inches total
Q~stc~ ~~5~ P~ Qeoeosa,~ ~Qa~, O~aeL,c tn.rt's 50. _ C.o. isu t-~p.c
**If applicable: / understand the system type specified is different from the type speci>ed on the app/icatioa. / accept the fpeci 'cations of this permit.
Owner/legal Representative Signature: Date:
This Construction Authorization is subject o ion if the s Ian, 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 & t to complianc ith tons e laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
a1o
Authorized State Agent: R Date: 3 1s
Const n Authorization Expiration Date: 3
HTE# I Q- S- ~bl'+
Permit # 'A5
Haz-nett (bounty Department of Public Health
Site Sketch
ISSUED T0: Na
Authorized State Agent.
ass'
PROPERTY LOCATON:
- SUBDIVISION av~~P.la l..e. LOT # a1O
Date: 3~1S~1a
4
Mar 11 10 09:40a michael eaker 9108224540 p,2
so u,rtmAS`C EN SO tL & L.N WRO1\MIENTAL ASSOC, INC.
PROPOSED SUBSURVA.C1! WAS'y.E DIS.1'OSAL SYSTEM DETAIL Sl:t:E. Il,
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21-
DIS7 RIBU` ION i7-Lux DISTR:I-BU`VION
BENCHMARK LOCATION ~ I-
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JAN L: 1l]-AG COLOR L-UEVA`C1ON AC's Utkt, 1-WNGfll
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DATE
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