IPACHTE# & �{ 6,9 Harnett County Department of Public Health 29153
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
�e��/s PROPERTY LOCATION: -M /1(„6 �.,.td + /j+6
ISSUED TO' d'" De= &* C�1tPS SUBDIVISION LOT # L_
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ZSre is itoi
Projected Daily Flow: 'J Lil GPD
Number of bedrooms:Number of Occupants: max
Basement ❑Yes o
Pump Required: ❑Yes ❑ No Ma required ba on final location and elevations of facilities
Type of Water Supply: ❑ Community I�blic = Distance from well /60 feet Permit valid for: &f five
Permit conditions: ❑ No expiration
Authorized State Age v Date: �/� 6 G SEE ATTACHED SITE SKETCH
The issuance of this permit by I lealth 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 iiKe 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 in 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: <-24� PROPERTY LOCATION: fir[/,sZae A -e jey. AW
SUBDIVISION LOT # Z_
Facility Type: New �❑ Expansion El Repair
Basement? El Yes No Basement Fixtures? 11C Yes No
Type of Wastewater System" (Initial) Wastewater Flow: .340 GPD
(See note below, if applicable ❑)�
F -" �-d 7 m.a Q (Repair)
Installation Requirements/Conditions T Number of trenches _Z
Septic Tank Size gallons Exact length of each trench / feet Trench Spacing:Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. Llnches
Maximum Trench Depth of 20-416 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-1/4" 36" above the trench bottom)
in all directions) /
Pump Requirements: (t. TON vs. GPM cP inches below pipe
2®, jhaX C7Z}C�F Aggregate Depth: Z inches above pipe
Conditions: 12_ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable, l understand the system type speriled /s different hom the type sped don the app/iwdon. / ac pt the rpecihcatanr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there is a down. in onow.hi. of the site. Thin
tonstmchon nuthonaanon IS subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and two the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State A nt: Date: — J!—z`j �(e
Construction Authorization Expiration Date: Ir i--) — Z1
HTE# 14- :r— y04y8
Permit # Z<�/ S-3
Barnett ConntY Department of Public Health
Site Sketch
�, " � � �__A —PROPERTY LOCATON�� 7 —e ,5 {L/J
ISSUED TO�LirnXp�¢� (�)41� SUBDIVISION LOT #
Authorized State ZXA�4� Date: / (i
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