IPAC RHTE# o Harnett Coun De ar 2 6 0 0 3
ty p tment of Public Health
.Improvement Permit
A building permit cannot be issued with only an Improvement ermit
PROPERTY LOCATION: S~P.v~~
ISSUED TO: G~i GLL.E c~ tn~s SUBDIVISION J t,NzVwoN C L~,t;*- fir, ES 5 LOT #
NEW,X REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S''1r,n No'p- ~1~~.'-$~
Proposed Wastewater System Type: ~V1- QEouGys o~1
Projected Daily Flow: 3~ O GPD
Number of bedrooms: 3
Basement ❑Yes No
Pump Required: ❑Yes No
Type of Water Supply: ❑ Community
Permit conditions:
Number of Occupants: -6 max
❑ May be required based on final location and elevations of facilities
Public ❑ Well Distance from well ~O feet
Permit valid for.
Afive years
❑ No expiration
Authorized State Agent.: ~`~`s ~S Date: 3 3D o SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance (.other permits. The permit ho der is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .195Q .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: sLY,~LLSG E~M{'+~1 PROPERTY LOCATION: J )p, rJ
1`1 ~\~'~O~ SUBDIVISION PwcJorr C c,~~~C,,,~~ S~c~a LOT #
Facility Type: ~r, New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System" a~' c~a ~vG~ cotes S y ~ <E r~ (Initial) Wastewater Flow: 34 d GPD
(See note below, if applicable
4`'~ p, yo G` c- (Repair)
Installation Requirements/Conditions Number of trenches ~ a
Septic Tank Size 10<5o gallons Exact length of each trench ~$a feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: a Lj inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: ~LL ~t lA: E1L -1~E5 M t~-C 1o S'a " SZ ,G
1 L 1 t n ctrl l:. ~~a c~+ l O., ~Ny )i N 1 T wL r~ci Q x-_P ,r a-
Trench Spacing: 9 Feet on Center
Soil Cover: 1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
~GPn~• inches total
**N applicable: / ander~tand the ryrtem type rpeci6ed is different from the type .rpeci ied on the app/ication. / accept the soecfwionr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subje cation if t ite plan, 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 su ct to complia th visio f the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
~.'f cw Date: t 4
Construction Authorization Expiration Date: 3 3e
HTE# ~d-5-x.661{2, Permit # abb03
Harnett C'ounty Department of niblic Health
Site ketch
PROPERTY LOCATON: Oav2y
ISSUED T0: M, ~,Ej-
EL;: o SUBDIVISION LOT # 11~
Authorized State Agent +`~~ouvfQ- 150,--) Date: ►a
150
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