IPACHTE# )�-S-y� Harnett County Department of Public Health 29771
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: i- T-- ,
ISSUED TO: G ct; A 'IYUJO i� SUBDIVISION LOT #
NEW f-, REPd ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 41 Z 53rxCA1
Proposed Wastewater System Type: ?5% Lwc 6 cn set .
Projected Daily Flow: yUrl GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes
Pump Required: Ws ❑ No ❑ MMay bemire uired based on final location and elevations of facilities
Type of Water Supply: ❑ Community fd�YubliC ❑ Well Distance from well a` -'q &et Permit valid for. ears
Permit conditions: OVIE-S'%-0— .ir''xa �c E - ,,. .YA-..�btc A ❑ No expiration
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Authorized State Agent: li''G��-s"�lJ�i�r Date: t'/oG Iui� SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 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 pravisiom 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 .1958, .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 TO: Grc, PROPERTY LOCATION: JL 94- �t<
SUBDIVISION LOT # I
Facility Type: y32 53 'X(,61 St-> Q—We�w ❑ Expansion ❑ Repair
Basement? ❑ Yes D-*— Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** f 0eAn�5Z (Initial) Wastewater now: S'4 J GPD
(See note below, if applicable ❑)1�
T Lsnp ..Li,orTS%v t2rdl.�t.•„n `>K. (Repair)
Installation Requirements/Conditions Number of trenches 11
Septic Tank Size / R60 gallons Exact length of each trench feet Trench Spacing: 7 Feet on Center
Pump Tank Size I .3 So gallons Trenches shall be installed on contour at a Soil Cover. / S/- inches
Maximum Trench Depth of: VG 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: 35 ft. TDM vs. �S GPM y inches below pipe
TuN&S to' -s z1 or, F;n.,1 pl nb: , Aggregate Depth: inches above pipe
Condition:: NesaipSPe %c L 'nr S ,. W_ 2n tiug inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the ryrtem type Jperibed it different from the type rper6ed on the application. / ifinept the specifications 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 change in ownership of the site. This
commission Authorization is
Authorized State Agent:
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: I �; /Gt= / gurq
GJ'Lxk t---> Construction Authorization Expiration Date:
HTE# Permit # 3 g q 3 �
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: aG aa�f
ISSUED TO: SUBDIVISION LOT # 1
Authorized State Agent: Date: t
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