IPAC RRHTE# Q%-5-_1Cfl IAQ-V_.. Harnett County Department of Public Health 2 5 3 3 6
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: v-:Svt Gava RZ
ISSUED TO: Y ~NVC---^ „r<S SUBDIVISION ~Yti-~.► Oe.~F.S LOT #
NEW-K REPAIR ❑ ~XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF9 t-► ~^~S'3'
Proposed Wastewater System Type: ~r v E„r; or a
Projected Daily Flow: ~Gb GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 'KNo
Pump Required: ❑Yes ❑ No 'P<~ay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well V50 feet Permit valid for Five years
Permit conditions: A ❑ No expiration
Authorized State Agent:: 24D - Date:_ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc (other permits. The permit holder is resdonsible 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 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, .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
ISSUED T0:
Facility Type: 5 T%) C-1 L; xs3/ New
Basement? ❑ Yes '~R No Basement Fixtures? ❑ Yes
Type of Wastewater System** C d r4 -,if, tr, o r J k
(See note below, if applicable
PROPERTY LOCATION: ~C-EXSVIta 6 C.~o2~~~ R~
SUBDIVISION 7S~rytYN 0ev3 LOT # _
❑ Expansion ❑ Repair
X No
(Initial) Wastewater Flow: 3l
60 GPD
C~ C r" A 1 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size ti 0o 0 gallons Exact length of each trench "'16 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. ~-C inches
Maximum Trench Depth of. 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: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: M t Ns my or' C )F' s 0 F \PvGr1.- N E,Ft60 OIL Dr1 A~N~~t j 13, inches total
**If applicable: /understand the syrtem type specifed is different from the type pecified on the app/ication. /accept the specilcationr of thi permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to r if the si lan, 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 Authorization is to compliance wi e p Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: C~g
Constru n Authorization Expiration Date: 4
HTE# C~l ~'-~0C11 O~ O(L Permit # 33~
Harnett County Department of Public Health
Site Sketvh
PROPERTY LOCATON: C-QkG'sv\ub C"AUZc"\yo
ISSUED TO: Gtr ~~N SUBDIVISION 1-:N *J dg~- LOT # 4
Authorized State Agent: 6Z~ ~oL~v~¢ -~oL~sop Date:
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