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HTE# JG -5-0519(L Harnett County Department of Public Health 30068
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit 5«- It)cU74
PROPERTY LOCATION: 05a c�s6u Pw IL Ln L�C�t�Ebi]s (Z -A
ISSUED T0: /� �9t2 tan Pros- t s_z . SUBDIVISION Gc 14 4xx re— . LOT #
NEW 1� REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '304- 3S3'X�arS+p 4- oal . Gaut CaV'x�y)
Proposed Wastewater System Type: ab% no"
Projected Daily Flow: 3G,0 GPD
Number of bedrooms: �3 Number of Occupants: max
Basement ❑Yes a 0 ��
Pump Required: Dyes ❑ No May be ireedd based on final location and elevations of facilities
Type of Water Supply: ❑ Community uCYP blit ❑ Well Distance from well feet Permit valid for. sve years
Permit conditions: ❑ No expiration
Authorized State Agent: ! Z'' / Date: c"] /a y / ao l4b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantee the issuance of other permits, The permit holder Sresl! Visible 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
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1952, .1954, .19SS, .1956, .IM, .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
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ISSUED T0: .fir �1f, LLC- PROPERTY LOCATION: oZ (c✓e6Laar_, flct{Z( ��• ccc �
�2t'xavJ SUBDIVISION L� LOT # >�
Facility Type: 35cL � X4d 5 w DrA C K. Q-Ifew� ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 4'.-aaAjp k -o a5Y'c, 55L4,m (Initial) Wastewater Flow: 3(,6 GPD
(See note below, if applicable ❑)
Poratn ka 26;9 , i1c4 LSu (Repair)
Installation Requirements/Conditions—Number of trenches
Septic Tank Size 1 CY.)Q gallons Exact length of each trench -45 feet Trench Spacing: 1 feet on Center
Pump Tank Size 1 gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of. l`rt 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: (L TDM vs. GPM tyf\ inches below pipe
Aggregate Depth: t --)N inches above pipe
Conditions: ds\ en c O Qpc rr, r,\ �j'ISEc;bol on YCPP, re.� NJk- 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.
n whable: l understand the swem type specified /s d0tra lrom the type specified on the applbooa / accept the rpeafcationr of 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 then is a change in ownership of the site. This
Lommuction Authomatum is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ILL AIIALHLU IIIL SKLILH
Authorized State Agent: Date: CSG �U�{�avf£5
p L� cs yJ Construction Authorization Expiration Date: (}L /UN / at>93
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HTE# 100-6-L43T)l a(z Permit # J m6;B
Harnett County Department of Public Health
Site Sketch
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PROPERTY LOEATON:Pw< to G;cDtivs
ISSUED T0: Tt : 1Ao u¢ Pre -.s.. SUBDIVISION Golub P� LOT # I
Authorized State Agent '' Date: 0 0q) ably-'�
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