IPACHTE#K'S-3c�Ju, 6L -'i
Harnett
County Department of Public Health
29032
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: IS'a VPI-lAv g1t,4 CK
ISSUED TO: GL6 t J
1 V C-'r—GK2—
SUBDIVISION P ;Z;a 5 QS7 Q_- ) 0 Q
LOT # VZ3F
NEW ❑ REPAIR ❑
S VO
EXPANSIOtA
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Ex
v5� + G
3
Projected Daily Flow: �0
`�
GPD
^
Number of bedrooms:
Number of Occupants:
b max
Basement ❑Yes ;No
Pump Required.->Oes ❑ No
❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
Public ❑
Well Distance from well feet Permit valid for.
XFive years
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: �1Iab11 c SEE ATTACHED SITE SKETCH
The Issuance of this permit by the Health Department in us way guarantees the issue e» It permits. . The permit holder is responn Ie for checking with appropriate governing bodies in meeting their requirements. This
site is subject m 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building g Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, AST, .1950. 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 T0: GLC—v / 1 '11iJ GY L PROPERTY LOC41ION:
SUBDIVISION C LOT # S�
Facility Type: .57 s d G S ❑ NewPr
Expansion ❑ Repair
Basement? ❑ Yes 31, No Basement Fixtures? ❑ Yes �Tlo
Type of Wastewater System** E.-,-, s S's s N c, (Initial) Wastewater Flow: 3'6 d GPD
(See note below, if applicable ❑)
Pvme 10 x-04` vQ-ey (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t O C7 0 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size LOCO gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: 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 1 C iH o+ 5 c v (. S7 S f— M inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / onderr and die Wtem oe rpeciffed it different from the type rpecifved on the app/icabon. / accept the rpec6catim of this permit
Owner/legal
Ibis tonstruclum Authoriu6on is subject to on if the site plan, plat or the intended use changes. The Construction Authorization shall not be mnslen
Construction Authorization i zct so complian h thee`the laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: 7S e4z�y"� Date:
Authorization Expiration Date:
Date:
when them is a
SEE ATTACHED SITE SKETCH
HTE# IG-S-aUCLt Permit # a903a
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 1`50 NNLLEy V�G� Gr
ISSUED T0: G+—C iv c� �n f SUBDIVISION P�Pci s<yC G C(2gS5�N G LOT # Ta
Authorized State Agent: �3� Cir S `oLly&2 SOL160 Date:
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