IPACHTE# S Ivo Harnett County Department of Public health 23398
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n�7 PROPERTY LOCATION: I 1 (®
ISSUED TO: I` YA�n<21 SUBDIVISION Cc Ion A 1 A, 115 LOT #
NEW REPAIR ❑ EXPANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:— i '>
X (4 (3
Proposed Wastewater System e: Vti C n f a
Projected Daily Flow: S(oo GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes )� No
Pump Required:pes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community � Public 11 Well Distance from well -s`� feet Permit valid for ( Five years
Permit conditions: Der {' Dai Jr: — JV1 A s ti ,Ln, n A I I 3 el- (3 Ac des ❑ No expiration
Authorized State Agent: l l_x LJ/ -A- (,,) Date: I I I 'y 3 G SEE ATTACHED SITE SKETCH
The issuance of this permguaranteesthe
t by t Health Department in no way guarantees the issuance of or 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 provisions of the taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
Recruited for Buildine Permit
The construction and installation requirements of Rules .1956, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be mer. Systems shall be
insulted in accordance with thein m IayouL
ISSUED 10: 1114 (3ra �✓cA 1 PROPERTY LOCATION:
V/ SUBDIVISION G1oq,a I II) LOT #QYPr
Facility Type: 5�J' — � 4l f New ❑ Expansion ❑ Repair
Basement? ❑ Yes No�j Basement Fixtures? ❑ Yes No
Type of Wastewater System" f� 6"vv b-0 (Initial) Wastewater Flow: J GPD
(See note below, if applicable nn �y
L I/ I' ,3� � L� (Repair)
IIIshRatlon AequirtcrsleMs/Eonditiolts
Septic Tank Size TODD gallons Exact length of each trench t (� feet
Pump Tank Size 100 gallons Trenches shall be installed on contour at a
j r SS� Maximum Trench Depth of �� inches
-7 .j (Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: M. TDH vs. GPM
Conditions:
Trench Spacing: / Feet on Center
Soil Cover. 6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
L inches below pipe
Aggregate Depth: inches above pipe
(T inches total
'9f applicable: / undentand the jymem type specified is different from the type specified on the app/icatioa / accept 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 Construction Author in' 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 Agent: ,j \' Date: 1 I- H %s�
Construction Authorization Expiration Date:� l) - 1`i O \
HTE# DCO- 1 �- 5 YE,
Permit # r 7 7 5
Harnett County Department of hiblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED T0: Ic SUBDIVISION LOT #-- y/' _
VP