IPAC RRNTE#o(
,-~-~uQa~e~)- Harnett County Department of Public Health 2 5 9 4 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
~ PROPERTY LOCATION: vEsz,•~~~t s Q.Z1
ISSUED T0: C1--0 Ra r~C.CC.rzy Cus10vr\ AOmES SUBDIVISION `S,0N6cqtss LOT #
NEW'V REPAIR ❑x
Type PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
of Structure: `vi;-) Proposed Wastewater Wastewater System Type: O ntP o C-0 Fes- Lei N NL-
Projected Daily Flow: 3 (7 O GPD
Number of beds oms: 3 Number of Occupants: max
Basement Aes ❑ No
Pump Required: ❑Yes ❑ No -,May be required based on final location and elevations of facilities
Type of Water Suppty~ ❑ Community Public ❑ Well Distance from well Loa feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 7w
Date: 3 a°1 l0 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department iay guarantees tt ante of other permits. The permit holder is res onsible 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 Im ovement 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: G'a C.G Cy~~orn AnV~ PROPERTY LOCATION: 014eaN)1'I S
SF~~ Ls~ SUBDIVISION Sao ccrzoss LOT # 46Q..
Facility Type: New ❑ Expansion ❑ Repair
Basement? )K Yes 'Ea. No Basement Fixtures? ❑ Yes )<No
Type of Wastewater Systern** Pvfi. P )o Co,.~- ,u,y (Initial) Wastewater flow: 3GPD
(See note below, if applicable
?Uc•.P 7-o ~1a REouG~tt7>v Sy,S '(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t C?S~ c> gallons Exact length of each trench Abp feet Trench Spacing: Feet on Center
Pump Tank Size ~00C7 gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 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. TDN vs. GPM ~o
Conditions: I-
0 1 es>
~A2,i ~tV gG MP.~nt'Sf~~NED 11~~ 6u
Aggregate Depth:
p-) CE
"'J A'C'EEQ, ti NE 'V\ 0g- ~C
Inches below pipe
inches above pipe
inches total
i
~2otr SF~P't vG 5~51~^,
Nd (3 - \L" -T \ -~-s Nn .al CAWP.c-)'4 <,t,, L
If applicable: /understand the system type specified a different from the type specified on the app/icatioo. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Constru tion Authorization is subject to r on if the site fan, plat or the intende~fo esThe Const rution Authorization shall not be transfrred whn here is a change iu ownership of the site. This
Construction Authorization is subject to compliance ithsion Laws and Rule Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: S Date: -)y
Constr n Authorization Expiration Date: a~
HTE# S~ZIQ -1 ~Q Permit # ~t A-5
Harnett County Depailment of Public Health
ite ketch
PROPERTY LOCATON: Q~~rz~.LLS yZ
ISSUED T0:-~~R~t~tGT~. Cv o SUBDIVISION > ;o,CoS~c LOT # 40Q,
Authorized State Agent: REX56,)vBll0L- -600 Date: 3 (3 1
3/