IPAC RG~- S- 19 / `~'e
HTE#-044- :r- Harnett County Department of Public Health 2 4 5 5 5
Improvement Permit
A building permit cannot be issued with only an Improvement Perm
~
PROPERTY LOCATION: S4 /_//S
ISSUED T ` ~~n~ J Ea..c3.r~. a `n gar. SUBDIVISION J3,7;V . l c LOT # R(/y
NEW L✓J REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Strwture: 41 K 7
Proposed Wastewater System Type:
Projected Daily flow: Co * - GPD
Number of bedro~ s: 3 Number of Occupants: (0 max
Pump Required: 14'fes ❑ No ❑~Mae required based on final location and elevations of facilities
Type of Water Supply. El Community LY Public El Well Distance from well feet Permit valid for. 19-five years
Permit conditions: 171 No expiration
Basement es No
Authorized State Agent:: / kso/~ ~ AL Date: 2 ( J ( 2o0 g- SEE ATTACHED SITE SKETCH
The issuance of this permit the Health Department in no way gtunntees 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 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.
Facility Type: ,~S-~-~X Q' New ❑ Expansion ❑ Repair
Type of Wastewater System** T~-p ~ (initial) Wastewater Flow: GPD
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
instilled in accordance with the attached system layout
ISSUED T0: ~~C a`n 0. n,.. PROPERTY LOCATION: S"e 411j--
SUBDIVISION w t-' LOT # .Z ~
Basement? Yell s ❑ No Basement Fix_tu(es? Yes ❑ No
(See note below, if applicable
/Jc t- Nz~d~ a ca.sc ~ ~~~.'`(t-(Repair)
InsAtiott RegairanctfttJtortditiorit
Septic Tank Size 00(3 gallons
Pump Tank Size / 00 0 gallons
Pump Requirements: ft TDH vs.
C. ,it"
Conditions:
,.eV-"It an
Exact length of each trench Y SO feet Trench Spacing: c)' feet on Center
Trenches shall be installed on contour at a Soil Cover. (o'~ inches
Maximum Trench Depth of:3(- '/Z inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1-I14" 36" above the trench bottom)
in all directions)
GPM inches below pipe
,r ,Aggregate Depth: inches above pipe
inches total
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**If a lica I ; 1 Uneeatand the ryftem type tpecited it di//erent /rom the type specified on the application. J accept the Jpecifmationt 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 Author is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKETCH
Authorized State Age Date: 2k cad
Construction Authorization Expiration Date:
HTE # cks -r- /W 7 V,4C Permit # a ~
Harnett C'oun y Department of hiblic Health
Site Sketch
PROPERTY LOCATON: It r
ISSUED TO:~ c r►V;.M. SUBDIVISION d rLZ LOT # a.
Authorized State Agent: Date:
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