IPACHTE# I a Harnett County Department of Public Health 26036
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L~ rnc,En y E Qc~-•
ISSUED TO: F- r cosv,2yU51~ tv SUBDIVISION l~,E S Jr~, r" 4Z!T LOT # 53
NEW;K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Car+srr~~ort
Projected Daily Flow: 3 d GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes )Z No
Pump Required: ❑Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 10 feet
Permit conditions:
Permit valid for. _ Five years
❑ No expiration
Authorized State Agent:: QS-2 Date: 5 \o SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance other permits. 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 Improvemen 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, .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 TO: "Sk, Co OtlQ Vcn}6r4 PROPERTY LOCATION:
SUBDIVISION 'i S V -rn LOT # `J3
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes '>~No
Type of Wastewater System** CJ MK,.-V. ~ a r r L (Initial) Wastewater Flow: 3G r GPD
(See note below, if applicable ,1Z
C-4 ~0 (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size C,0 gallons Exact length of each trench } Sb feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. 6 ~ 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: 1__.,.,4c \0 VrL - inches total
n Ky C n-sZJ N \ r,.r V-C" A,- 0 CL-r c~ t cx~ ~_pc
**If applicable: / undeatand the system type speciFied is different from the type soecibed on the app/icatioA / accept the specilcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authnmatinn k vthion in I...-fi- ;f the .;.e n1- ,.1- - k
- • - ,.,-r- nuwon.auou aian u,, ue transrerreo when there is a change in ownership of the site. This
Lonstru<non Authorization is subject to compliance with the provisions he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: ~-~LS Date: 5 ~ 0 S rJ
Construction Authorization Expiration Date: 5 1
HTE# C s-at') } 'D--
Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LO[ATON: ~r~LZ~, iE fl2
ISSUED TO: S P G SUBDIVISION LOT #
o Fn.
Authorized State Agent: Date: S
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