IPACHTE# IQ Harnett County Department of Public Health 2 6 0 3 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Ck u"A NI-L.~
ISSUED TO: CV M0~1~2 k'~c ~C} '~\o c'-S-'5 SUBDIVISION ccC- Q ~r,, ,r; or~~ LOT #
NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: L112
Proposed Wastewater System Type: Cr~c~JE+-*;.oc~cRL
Projected Daily Flow: d GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well IV O feet Permit valid for. ->live years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 5 ( t d ) a SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of othe ermits. The permit holler is esponsible 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 .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: Curn&p- ,L-P-'A C) kar ,mss PROPERTY LOCATION:
S -J) SUBDIVISION YaWa 1-1)"AN0 iA t>.Ssfl LOT # S
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes -~CNo
Type of Wastewater System' Co,., C-r5 ~o,NN1-, (Initial) Wastewater Flow: 36 ~ GPD
(See note below, if applicable
0~" ,.,'r s, 10 N NI- (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 16ny gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions: IJ A~~(L L, n E M
AC1a
N
Exact length of each trench 15 b feet Trench Spacing: Feet on Center
Trenches shall be installed on contour at a Soil Cover: ► inches
Maximum Trench Depth of. a inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
GPM inches below pipe
Aggregate Depth:_ inches above pipe
~Q Gc2~r. S S y i N a <<t ~C~S _ inches total
n w
**If applicable: /understand the system type specified is different Isom the type specified on the app/ication. /accept the rpeeipcationr o/ thin permit.
Owner/Legal Representaf Signature: Date:
This Construction Authorization is subject to c the site 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 i to co a ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1) J.) a
traction Authorization Expiration Date: 5 10
HTE# O - 5-~-~ Permit # Q G03'~
Harnett County Department of 1' blic Health
Site Sketch
PROPERTY LOCATON: C~ic>~ 1~ LL~
ISSUED T0: c~ ms3Ecc o o Mt:S SUBDIVISION LOT # 15
Authorized State Agent: A Ft~.~'S L~~ £2 ~otpot7~ Date: ~b
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