IPAC RHTE# ) -5 —4) 4e�2 Harnett County Department of Public Health 29585
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: A4hvA IUG3)
ISSUED T0: ` a i nukusvf�— T -Io res.,S 13,G5 SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: x/62 5Fx> C,!5151 x 6&
Proposed Wastewater System Type: ZS io ron
Projected Daily Flow: YB o GPD
Number of bedrooms: `/ Number of Occupants: max
Basement ❑Yes o
Pump Required: es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community E "ublic ❑ Well Distance from well feet Permit valid for. ET -Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: U-q/ry//7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject to revocation if the site film 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 Permit)
The construction and installation requirement of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into thin permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: 6) .cw Fion.P (3 JQ�g PROPERTY LOCATION: rA&' Sn
SUBDIVISION LOT #
Facility Type: fX61i D--We—w ❑ Expansion ❑ Repair
Basement? ❑ Yes E3 -lo— Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System** %Mo 1.o ZS% 44e_Akyljail 3> -ie ^ (Initial) Wastewater Flow: �/Bo GPD
(See note below, if applicable ❑)
PJMo J1 Z5i
HTE# - S - 41 { Ln2 Permit # 2 1666
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:WLnn rL.) CS ti 1
ISSUED TO: 000- 665 SUBDIVISION LOT #
Authorized State Agent: Date: oq Z -//Z -OA -4
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