IPAC RRRRHTE#Cl! 5 tA-J VVZ_ Harnett County Department of Public Health 2 5 8 6 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: N t=p,~>_~ _ PROPERTY LOCATION: 1-1~Y~Aa C-NA ps?i*t_ C.,+Vt1Ua `ZD
SUBDIVISION Co P~~ ccrf
NEW, REPAIR E3 EXPANSION LOT # .1
Type of Structure: - M 1,, . qo M (a~"x Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: .rne 7 o C~aNd~a4~omA,L
Projected Daily Flow: GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes No
Pump Required.*XYes ❑ No ❑ May be required based on final location and elevations of facilities
oWater Supply: ❑ Community Public ❑ Well Distance from well 1p0 feet
Permit conditions:Permit valid for: Five years
❑ No expiration
Authorized State Agent:: 4kH5 Date: It t
The issuance of this permit by the Health Department in no way guarantees the issuance r permits. The permit holders respo sible for checking with appropriate governing b
SEE odieArnAmHED ShTE egETe Hnts. This eeting 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit}
The the atcuontached sandystem installation layout. 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 at
ISSUED T0: PROPERTY LOCATION: ZA3--„~ Ca.~,ae~ C~vtLC,~
Facility Type: MP+a ,x(~> SUBDIVISION CavNC2,y VISv-,,
LOT # 1
New ❑ Expansion ❑ Repair
Basement? ❑ Yes J~ No Basement Fixtures? ❑ Yes No
Type of Wastewater System- v rr,~~p \0 tv AL
(See note below, if applicable (Initial) Wastewater Flow:o~ GPD
L f P (Repair)
Installation Requirements/Conditions Number of trenches 'A
Septic Tank Size yocoo gallons Exact length of each trench S feet
Pump Tank Size X000 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: t9=33- inches
(Trench bottoms shall be level to +1-114"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: \4 arEf,~L,,C_' ,s 6Q 10' t s7s
Trench Spacing: ~I Feet on (enter
Soil Cover: -G IC) inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
*If aoolicable 1 understand the ryrtem type rpecified it dihrerent from the type ,rpecifled on the app/ication. /accept the rpecifcationr of thi permit
Owner/Legal Representative Signature:
This Construction Authorization is ub'ect to revocation if th site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there theis a change in ownership of the site. This
Construction Authorization is ubj ct to compliance the taws and Rules for Sewage Treatment and Disposal and to the conditions of this ermit.
p SEE ATTACHED SITE SKETCH
Authorized State Agent: 1
~ Date: t as ~ o
Const ion Authorization Expiration Date:
HTE# QS -5 ~a,~t 1 RQQ (2 , Permit #
Harnett (bounty Department of M blic Health
site sketch
PROPERTY LOCATON: C1c,LFA,~ ~qq6
ISSUED TO: A~ rl SUBDIVISION Co u P-g2:1 V ~6w
LOT # a-
Authorized State Agent:c,~6LNYEv_rSOL~
l~ Date: t laS'
STI-..030