IPACHTE# n S-J—lia73 Harnett County Department of Public Health 29518
Improvement Permit
A building permit cannot be issued with only an Improvement P rmit
PROPERTY LOCATION:—) "S
ISSUED T0: M OLL�J N A� OF s s SUBDIVISION LOT #
NEW ❑REPAIR ❑ EXPANSION
Type of Structure: �c� ,4 V4i
Proposed Wastewater System Type: 1�_ STs N G
Projected Daily Flow: 06b GPD
Number of bedrooms: Number of Occupants: max
Basement []Yes 't�dlo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes 113 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ❑ Well Distance from well 'S Qf feet
Permit conditions:
Permit valid for.
lNive years
❑ No expiration
Authorized State Agent:: Y�� Date: � sS � 1, SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issue ther permits. The permit holder is respons le for checking with appropriate goveming 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, .1951, .1954, .1955, .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: T') OL.Ly N')?" 015-11,41 PROPERTY LOCATION: _ 4S \ZQA4,69— NRD
Facility Type: '(?' n ❑ New
Basement? ❑ Yes 15, No Basement Fixtures? ❑ Yes
Type of Wastewater System** S: -AN -Q's vr'4 G
(See note below, if applicable ❑)
Installation Requirements/Conditions
Septic Tank Size t tnt d gallons
Pump Tank Size gallons
SUBDIVISION
X Expansion
'Pi(No
❑ Repair
Number of trenches
Exact length of each trench feet
Trenches shall be installed on contour at a
LOT #
(Initial) Wastewater Flow: AO d GPD
Trench Spacing Feet on Center
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: h. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: > < 1 xy'C o �t5 L H G Sys : 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: / understand the system type spec/bed is different bam the type spec/fed on the app/icatioa / attept the rpetif'rationr of this permit
Representative
Date:
This Construction Authomation is to ' vocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization js=ubject to complianft�it sho he laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 5
Construction uthorization Expiration Date: -
HTE# F7-S-Z'lt� )'3
ISSUED TO:
Authorized State Agent:
Permit # "�45 Sl
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 7 ZSS Y gA",62 P.D
:` SJ SUBDIVISION l LOT #
S l9L�v� ToiyZ.Date: 5 SI n
P�ac1, a
KQ�Mc-n, 2�
S'Nov 5C