IPACHTE# S -3"7 '769 Harnett , ounty Department of Public He. h 28692
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Ts�rX/JL lsA l6 !ZD
ISSUED TO- SUBDIVISION — LOT #
NEW f7 REPAIR ❑ EXPANSION ❑ Site Improvermenlerequired pr6r to Construction Authorization Issuance:
Type of Structure: wo
Proposed Wastewater System Type: 5 t)
Projected Daily Flow: %`f 0 GPD
Number of bedrooms: Z Number of Occupants: max
Basement ❑Yes Cid No �
Pump Required: Dyes ElNo 12 Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Q� Public ❑ Well Distance from well Feet Permit valid for. Im Five years
Permit conditions: ❑ No expiration
Authorized State Ag _ r/ �� Date: Z — //' — / (o SEE ATTACHED SITE SKETCH
The issuance of this permit by I lealth Department in no way guarantees the nsuance of other permss. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation a e 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 subiecl to compliance with the provisions of
the taws 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, ASS, .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: ale( 4 y PROPERTY LOCATION:—$Q90Z l�Je ZA
i SUBDIVISION — &Act,
LOT #
Facility Type: ZBti',- nevi
HTE# 14 -
Harnett County
Permit # zs(v
Department of Public Health
Site Sketch
PROPERTY LOCATON:2C J 807_ 6,404 iZ.)'�,
ISSUED T0: o da SUBDIVISION A� LOT # -_
Authorized State�A�eok ��� Date:
rv�_ L
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