IPACHTE# yQ-5-D-21L30-3 Harnett County Department of Public Health 26041
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: M A2~c g
ISSUED TO: C v r., a t~L Ate D ~p m C S SUBDIVISION ~~N F a
NEW,X REPAIR I-] (PANSION El LOT _ 1 c
Type of Structure: Site Improvements required prior to Construction Authorization Issuance: :
Proposed Wastewater System Type: Cc "y e o s o cv Ps L
Projected Daily Flow: 3 to O GPD
Number of bedrooms: 3 Number of Occupants: 41 max
Basement ❑Yes ' ANo
Pump Required: ❑Yes ❑ No eKMay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100
Permit conditions: feet Permit valid for: Five years
❑ No expiration
Authorized State Agent::
Date: 5 s to SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc f other permits. The permit hol r 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 J950, 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: Cv n-,B fsZ z~, Hptnas, PROPERTY LOCATION: MP~2c s F -Q
SUBDIVISION P.~~P-,roQ
Facility Type: _A New ❑ Expansion ❑ Repair LOT # to
Basement. ❑ Yes -X No Basement Fixtures? ❑ Yes ~Z No
Type of Wastewater System** j E--r\ o r-t
(See note below, if applicable (Initial) Wastewater flow: 3C~ GPD
4E.r`nivN>hL (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size i oc~0 gallons Exact length of each trench ► So feet Trench Spacing:
Pump Tank Size gallons ~ Feet on Center
Trenches shall be installed on contour at a Soil Cover: to inches
Maximum Trench Depth of: a1A 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
Conditions: \J PV C, I, N g- M ,,.5-, gc \ t-
_M '-J c a,a a 01A o 4 1N VC I PL n,z, Q. s
_ inches below pipe
Aggregate Depth: a inches above pipe
k s L s ~tL S I inches total
"*If applicable / under Land the rystein type specified is different tram the type specified ofl the application. /accept the specificationr of this permit.
Owner/Legal Representa Signature:
This Construction Authorization is subject to r on if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when thDate:
ee is a change in ownership of the site. This
Construction Authorization is « to compfian with a in he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
P SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: 35 ld
Constr on Authorization Expiration Date: 5
HTE# Ib- 5-~.~-1~Q3 Permit # ()tj
H~>Lrnett ('ounty Depallrnent of f't l~lic Health
i to 'S ketch
ISSUED TO: c Q,
Authorized State Agent:
PROPERTY LOCATON: M P+rZ~S
SUBDIVISION ~~~C-4czp LOT # 10 cv
:~,5 tb LTV EtL`S~OLY 4Date: 511,110
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