IPACHTE# OJ 5Harnett County Department of Public health 23382
Improvement Permit
A building permit cannot be issued with only an ImpProvement Permit
PROPERTY LOCATION: I I l 1e
ISSUED TO: SUBDIVISION CD,111AlH, / IJ LOT #3I
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type o tructure: OxSs 70M1.
Proposed Wastewater System Type: 1 -c
Projected Daily Flow: GPD
Number of bedrooms:Number of Occupants: G max
Basement ❑Yet 'JI No
Pump Required: Dyes ;CT No 5rHay be required based on final location and elevations of facilities ��""
Type of Water Supply :/a,❑�� CoppL�tmunity 1❑ Pu¢ic ❑ Well Distance from well J feet Permit valid for. Arrive years
Permit conditions: t r K91 �/S t•fi (S� F �n ( amu-� MA,4 in Jd /J4 O,M1e%d ❑ No expiration
Authorized State Agent: Date: I-% J �' SEE ATTACHED SITE SKETCH
The issuance of this permit by th ealth 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.41fest to revocation d 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
Reouired for Building Permit
The construction and installation requirements of Ruin .1950, .1952, .1954, .1955, .1956, .1957, .19S8. and .1959 are incorporated by references into this permit and shall be met. Systems shall be
installed in actor race w h the at ed sln�tem layout.
ISSUED TO: CMV V(J PROPERTY LOCATION: I I
Sfo Yfr e3 V& SUBDIVISION M LOT # �
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement FJ'pstu ss? ❑ Yes 54-A /
Type of Wastewater System" Z% i�
sQYr/a" l�t� (Initial) Wastewater Flow: l i �) GPD
(See note below, if applicable ❑)
N/ I' ✓� J � (Repair)
Installation RequiranestWConditions
Septic Tank Size Its, 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. inches
Maximum Trench Depth of: I x inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
**If applicable: l understand the ryrtem type tpeciried it different from the type specified on the application. / accept the fpecificationt of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization B 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 Authoriza n is subject to comp once with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
p n y SEE ATTACHED SITE SKETCH
Authorized State Agent: �.� ��)� � Date: I I' �-O 4
Construction Authorization Expiration Date: 11-q do\\
HTE# D&SDU J ��/ r� Permit # 339
Harnett County Depallillent of h1blic Health
Site Sketch J
PROPERTY LOCATON: 1 I I S
ISSUED TO: j, R I /YYs t)L/) SUBDIVISION LOT #�7
Auth f rized State Agent Date:
I Cx L
co L-
r(i
,�� Q c� --� ����./I-. � n�. f � ��� v i.✓� n J1'Y��r� � .-� � 2v�J l���l o.,-
(rett Del
A& 1-4 � I oilyh
'
Kee �ILA,n /J