IPACHTE# %q -S- 443\0 Harnett County Department of Public Health 30129
Improvement Permit
A building permit cannot be issued with only anAprovement Permit
. n 1\ r c% PROPERTY LOCATION: hOC,Qzss O ti
ISSUED TO: t" S ;Z—Li9 V V A1!l X15 a at,
SUBDIVISOOW rovmc sP Ni �NOus'll... PCLs, LOT # f_
NEW 13 REPAIR El EXPANSION ❑ PraLacatsaost @j Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: a 4 6 e v 5 s o a N L
Proposed Wastewater System Type: QL%Y a �4AVt'l• asg! vS.
Projected Daily Flow: -a �'Q GPD (9015W dvv 0`1-014xi \0CA)
Number of bedrooms: Number of Occupants: max
Basement []Yes No
Pump Required�Res ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. years
Permit conditions: w ❑ No expiration
Authorized State Agent:\®�— Qu�id
The issuance of this permit by the Health Department in no way guarantees the nsoal
site is subject to revocation if the site plan, plat, or the intended use changes. The Impn
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date:
SEE ATTACHED SITE SKETCH
permiu. The permit holder is 4sponsible for checking with appropriate governing bodies in meeting their requirements. This
'emit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Pump Requirements: (t. TDM vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
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: / undeatand the ryrtem type specified it different Imm the type tpecifled on the app/icatioa /accept the rpecilcatioar o/ this permit
Owner/Legal Representative Signature:
This consmu non Authorua t reroai
construction Whoruation is4ueiect m comnlian�+
Authorized State Agent:
site plan, plan, or the intended use changes. The construction Authorization shall not be transfers
ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Date:
Co'n&sruction Authorization Expiration Date: _
Date:
there is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1952, .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
t
ISSUED TO: M cCe w NBu- S t`t tcsi; S`dsiGte PROPERTY LOCATION: {' n a0
4+7'655 061
Ili)
FiC)SN
SUBDIVISION Ov"4✓w.,e
Us D 051CL\ PS 1t1L LOT #
Facility Type: • vsa-0sv(a
❑ New ❑ Expansion ❑ Repair
16RE>ooq�yda
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" (3v P`Sb
-:LS01a; RGovcTho.r S%57EM
(Initial) Wastewater Flow: 35 (5 GPD
(See note below, if applicable ❑)
PyMQ ) a
e-t0.4S13
(Repair)
Installation Requirements/Conditions
Number of trenches Q's -
Septic Tank Size [-u,;.,S i . gallons
Exact length of each trench % S feet
Trench Spacing: el Feet on Center
Pump Tank Size 'P—x s ; gallons
Trenches shall be installed on contour at a
Soil Cover. 11 inches
Maximum Trench Depth of: '2L 4 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: (t. TDM vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
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: / undeatand the ryrtem type specified it different Imm the type tpecifled on the app/icatioa /accept the rpecilcatioar o/ this permit
Owner/Legal Representative Signature:
This consmu non Authorua t reroai
construction Whoruation is4ueiect m comnlian�+
Authorized State Agent:
site plan, plan, or the intended use changes. The construction Authorization shall not be transfers
ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Date:
Co'n&sruction Authorization Expiration Date: _
Date:
there is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# L1L131 0 Permit # '3013
Harnett County Department of Public Health
Site Sketch
ISSUED TO: M
Authorized State Agent:
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PROPERTY LOCATON: PaOez6ss Dci_
e Slsr;�CnSUBDIVISION Dyr ck, SNOVSSn,Ia.L LOT # L}
�iQ )1S & Ll vel `111� Date: 401 14
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