IPACHTE# w - s -asap Harnett County Department of Public Health 2 6 0 8 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIONSti' /~/G~~irl~ ,c'✓)
ISSUED TO/: d 2 r SUBDIVISION M 6er,~ cad S5 LOT # I_
NEW L REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 L,) 61 1-4
Proposed Wastewater System Type: Chu ye+Jr Zd ,,r
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ❑ be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community MPublic ❑ Well Distance from well feet Permit valid for. Q Five years
Permit conditions: ❑ No expiration
Authorized State Age ~U Date: SEE ATTACHED SITE SKETCH
The issuance of this permn by Health Department 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 i 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, ASS, .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 T0: `yZ,60 ZED NjI
14r'70~`i PROPERTY LOCATION:.Z 15 55 7 /Z/)
SUBDIVISION Z3 r LOT #
Facility Type: t Ev New ZN Ex
pansion ❑ Repair
Basement? ❑ Yes No Basementures? ❑ Yes Type of Wastewater System** Cso)30e_r_),/t Fixt-c`.c-,. (Initial) Wastewater Flow: 36c-) GPD
(See note below, if applicable
O&X3~ (Repair)
Installation Requirements/Conditions Number of trenches -
Septic Tank Size ZOO() gallons Exact length of each trench JOD feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 2-Y" inches
(Trench bottoms shall be level to +/-I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
G inches below pipe
Aggregate Depth: L-. inches above pipe
Z_ inches total
**If applicable: /understand the system type specified is diNerent from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
• - . • ..,t • , , 4 11.1 -t7 pmu, pi-, u, me mwnaeu me changes. ine construction Aumonzation snail 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 A 6 .~.t Date: 10.- -/0
Construction Authorization Expiration Date: 1 o - -7- 15-
NTE# /d-S -ZSZ Permit # -?Co R ~Z
Harnett C'onnty Department of IlUblic Health
Site Sketch
PROPERTY LOCATON:.~ i~ "GD .C ~~v s fly
ISSUED TO: SUBDIVISION
Authorized State Ageei► Date: / D 7- 1 t~ 611 IZb'
Department of Emvimnment, Health and Natural Ram=" Sheet:
Division of Ewdronmentd Health Property ID:
On-Site wastewater section Lot M:
SOIIJSITL EVALUATION Fite N:
Code'
for UN-SITx WAST19WATZR SYSTEM
Owner. Applicant
Addrm Date bduat : , o - , tv
Propmw Landon 7 SibxtT 5~, I Desip Am (.1949r 347,6 Property Size:
Property Aecorded:
Watet 3up* 0-14110 p UNduat p well Cl Spring
Evaluation Mdhod: QAuger Boring ❑ Pit Cut
Type of W"Wwater: ewage ❑ Industrial Process Mixed
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