IPACHTE# Harnett County Department of Public Health 2 4 5 5 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
S PROPERTY LOCATION: Hwy 1
ISSUED TO- aS d'^ SUBDIVISION LOT #
NEW W REPAIR ❑ , EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -S- F s-4! x 3 9
Proposed Wastewater System T : v % C -~•E+ ~ S l
Projected Daily Flow: 6PD
Number of bedrooms: Number of Occupants: max
Basement ❑Yess f Ho -
Pump Required: Lyres ❑ No ❑ Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 19 Public ❑ Well Distance from well feet Permit valid for. Fl--Five years
Permit conditions: _ ❑ No expiration
Authorized State Agent: /,e- •,A-- ,C Date: Z 6 C4F SEE A1TKHED SITE Sll
The issuance of this permit the Health 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 it 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, .19SS, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be
installed in accordance with the an ed system layout.
ISSUED T0: .Sus d-•~ Jct~ PROPERTY LOCATION: ftWy F.2
SUBDIVISION LOT #
Facility Type: SF~ S _ E9 New El Expansion ❑ Repair
Basement? El Yes efNop Basement -fixtures? ❑ Yes ❑ No
Type of Wastewater System** "+p C,.-4<, (Initial) Wastewater Flow: 46t GIRD
(See note below, if applicable
(Repair)
InstgNation kquimrttet~s/fonditions
Septic Tank Size 400 gallons Exact length of each trench f ) . W feet Trench Spacing: q Feet on Center
Pump Tank Size /000 gallons Trenches shall be installed on contour at a Soil Cover. G- /4 inches
Maximum Trench Depth of Id- 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
C~nditi's: a-L2 inches total
o ~~rc~C-fcrr i-o /"kelk-} 0'^S: t-c_ .DI' % C J--
**If applicable: / undewand the system type speciled is different from the type speciled on the app/ication. / accept the spedficati= of this 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 there is a change in ownership
of the site. This Construction Authonzatio subject to compliance with the isions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SnE Sam
Authorized State Agent: Ile f Date: r o2 at
i T
Construction Authorization Expiration Date: / r a 4
HTE# Cl-- -~V Permit #
Harriett County I epailment of hiblic Health
Site Sketch
PROPERTY
ISSUED T0: ~SU D YI ON ~
LOT #
Authorized State Agent - a Date: Z_ZX ccdv,
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