IPACHTE# 16' - s-- ~svy3 Harnett County Department of Public Health 2 6 0 7 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:St_&O~ ~~i~tiz~c+~•~
ISSUED T SUBDIVISION LOT # 9
NEW REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: EX ~F~
Proposed Wastewater System Type: 25 °ia R-"0C41-<AD -
Projected Daily Flow: :54x6 si K1~3 GPD
Number of bedrooms: -_Y--- Number of Occupants: 6' max
Basement ❑Yes 5 No Pump Required: ❑Yes ❑ No L~Mublic required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Well Distance from well feet Permit valid for. 2' Five years
Permit conditions: ❑ No expiration
r- s r. z t t
Authoriz7State e Date: SEE ATTACHED SITE SKETCH
The issuanmit b Health D epartment in no way guarantees the issuance of 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 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, .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: PROP TY LOCATION: S,=/1/09 dt,~~c. e'04 ~ ~
S IVISION Ahia,4„~ LOT # Z
Facility Type: ~A (?f New xpansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System' r_i ~ 1 (Initial) Wastewater Flow: 96 GPD
(See note below, if applicable
,~M 126-PO "14k- L/~!~/!'o~ -~_(Repair)
Installation Requirements/Conditions Nuu~f trem: es
1
Septic Tank SizeOll?UCC7 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shali be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. .ZL" 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: Z inches above pipe
Conditions: inches total
*If applicable: /understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
°I. ° I „ J«< - I t pmn, play, m me imenueu use cnanges. ine constructi on AuMonza non shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag '--r - Date: -26) - /y
Construction Authorization Expiration Date: T -Ld - / 5'-
NTE # /6 - S = -0 If I Permit # ze' a 7 ~
Harnett County Department of 11i blic Health
Site Sketch
PROPERTY LOCATON:_~lyz5 4 ~ at-,J a,- ~
ISSUED T0: A/ ~ SUBDIVISION LOT # /9
Authorized State A G Date: Zd -
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