IPAC RHTE#_Z7% - 9'A lam, Harnett County Department of Public Health 2 4 5 3 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: _
ISSUED T0: o~ 6yo~a rV 50 SUBDIVISION _ C.- W ~~sa Hso LOT #
NEWX REPAIR ❑ EXPANSIOt ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: f'10 o u ~,c~ ate' x gyp'
Proposed Wastewater System Type: C-o cr-eHc%o,,p,t
Projected Daily Flow: 3 60 GPD
Number of bedrooms:
3
Basement ❑Yes
No
Pump Required: ❑Yes
X No
Type of Water Supply:
❑ Community
Permit conditions:
Number of Occupants: ____max
❑ May be required based on final location and elevations of facilities
Public ❑ Well Distance from well feet
'~xFFive years
❑ No expiration
Authorized State Agent~~ C15 Date: '11, -;,S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way gua es 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 taws 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, A954, .19SS, 1956, .1957, .1956. 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 TO: Q"NS(3N PROPERTY LOCATION:
~ SUBDIVISION Cw LOT #
Facility Type: ~u t_p2 d.<L'ttooJ New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'IR,, No Basement Fixtures? ❑ Yes " No
Type of Wastewater System" C g N vc~s~ N sue- (Initial) Wastewater flow: 3 (c, O GPD
(See note below, if applicable
U,;czs. Sraauo-N ~*r•r6rr~•oN (Repair)
InsAtion %uirmnts/Conditioas
_3
Septic Tank Size t o Oa gallons Exact length of each trench "-I -5 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 inches
Maximum Trench Depth of. -Ai - yk 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: a inches above pipe
Conditions: EE-
'--n EP03,,,, ~s \A QP-0 inches total
**If applicable: ! understand the system type sperifed iJ difierem from the type specified on the app/ication. / accept the rpe011Q 0,7S of this permit.
Owner/legal Representative
This Construction Authorization is
of the site. This Constructkn-Aud
Authorized State Agent:
Permit valid for.
Date:
site plan, piat, or the intended use changes, The fonstruction Authorization shall not be transferred when there is a change in ownership
mice with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SlIETCA
Date: e B
struction Authorization Expiration Date: 4-3 13
HTE#
Permit # 204 53 5
Harnett County Depa,ilment of 1- ~ibl is Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: 4 ~ola cr N SUBDIVISION _ (-`t off Nso+v LOT #
Authorized State Agent L%,q -L7c)L-x5KvtT Date: 4lo~
X31'
~k 3/