IPAC RRRHTE# Da, 00 --19 ~95; Harnett County Department of Public Health 25501
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: T i~ E R
ISSUED TO: ' ` SUBDIVISION Q A 3 LOT # Y 9 `l
NEW-` REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: - 4 D "C
Proposed Wastewater System Type: r!V -t 2 S' I- A. 4 - tr•
Projected Daily Flow: GPD
Number of bedrooms: r A-, Number of Occupants: 60 max
Basement ❑Yes -'A No
Pump Required.-)&es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Suppl : ❑ Community Public ❑ Well Distance from well I i feet Permit valid for. Five years
Permit conditions: -e ~v- J. k -A CV-8 (a v A-( \ ! c 13o% t k ❑ No expiration
A\\ Q A'A-s i c-t n- t"< C- S~ t mss`- M-J 4 tk, s'ue' ~ r~ sra.2 rI
Authorized State Agent.: L2 / Date: - 0 `f SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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 file 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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 T0: C < c[ < 2J PROPERTY LOCATION: ON: /rive erx
SUBDIVISION _ A 4- LOT # I
Facility Type: X 'ti4'---New ❑ Expansion ❑ Repair
Basement? ❑ Yes No A Basement Fixtures? ❑ Yes No ,
Type of Wastewater System**r~t fs 2 f , , (Initial) Wastewater Flow: GPD
(See note below, if applicable 0"'
" ( Q 1,> chi (Repair)
Installation Requirements/Conditions Number of trenches q
Septic Tank Size 10'bO gallons Exact length of each trench feet Trench Spacing: t Feet on Center
Pump Tank Size /70.3 gallons Trenches shall be installed on contour at a Soil Cover _L inches
Maximum Trench Depth of. ) S -a`4 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: h. TDN vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
**If applicable: / understand the system type specified /s different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
„ „<a a wuI'll W ic.aaoun a tile sne plan, piac, or me mtenaeo use cnanges. ine lonstrUCUon Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization 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: k~IL ) Date: D~ ° D G ' 3q
Construction Authorization Expiration Date: 0 j - 3 U , c~`~ { 3
HTE# 09'~ X>-- 689S" 4R- Permit # c2 ~SD I
Harnett County Department of M-tblic Health
Site Sketch
PROPERTY LOCATON: 7 vv n d
ISSUED TO: ' 61" 2J SUBDIVISION o-, 1 LOT #
Authorized State Agent Date:
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