IPACHTE#_0X_5~>u_I`t3D~l Harnett County Department of Public Health 24656
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION~-
ISSUED TO: SUBDIVISION f J~. S r 2 G LOT # . G
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S Fn efb `t '-4 Q M1--
Proposed Wastewater System Type: 2S T d-, E,
Projected Daily Flow: `3 'e o GPD
Number of bedrooms: _-~fNumber of Occupants: max
Basement ❑Yes -)0 No
Pump Required: ❑Yes ❑ No ray be required based on final location and elevations of faolities
Type of Water Supply..❑ Community 5;~ ublic ❑ Well Distance from well ~J feet
/U[~ ~c t~(~~..1~„r.4
Permit conditions:
Permit valid for. ?n five years
Cwt ❑ No expiration
"►J
!Yl/kt/t~t'Y.}th pr\~ S2'T":S(~t'r{~'(
Authorized State Agent:: Date: D SEE ATTACHED SITE SKETCH
The issuance of this pernut by th 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 biect to revocation 4 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 provims 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 .1 950, .1952, .1954, .1955, .1956, .1951, .19% and A9S9 are incorporated by references into this permit and shall be met. Systems shall be
installed in accordance with the attached s tem layout
ISSUED TO: cay Ir e u t~.~ ( PROPERTY LOCATION: C I
SUBDIVISION l 1J~~rl i cc LOT # 21
Facility Type: I X "t '4 Q(?- t'-New ❑ Expansion ❑ Repair
Basement? ❑ Yes ) - No Basement Fixtures? ❑ Yes )EL-No
Type of Wastewater System" ? f Fr-/-t Sf, (Initial) Wastewater flow- GIRD
(See note below, if applicable)
o2i l., , ~ ! (Repair)
In Requh"DO/Coadit m
Septic Tank Size ~h2 gallons Exact length of each trench J ~!Io feet Trench Spacing: _ Feet on Center
Pump -Tank -Size gallons Trenches shall be installed on contour at a Soil Cover.. inches
Maximum Trench Depth of: . I e , - inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/_1J4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
"If applicable: J understand the system type specified is different from the type specified on the application. l accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authoriution is subject to revocation if the site plan, plat, or the intended use changes. The (onstruction Authorization shall not be transferred when there is a change in ownership
of the site. This Construction Autho ' tion is subject to co iance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SUM
Authorized State Agent: Date: Da- y 1- D K
Construction Authorization Expiration Date:
NTE# Xbo- 0373 Permit # 0~ 6S
Harnett County Department of Publ ic Health
Site Sketch
CAUJVVSJ PROPERTY LOUTON: Z -F
ISSUED T0: LA-V- SUBDIYIMON J LOT #
Authorized State Agent } Date:
X2 Kj
I n t, 2 "
J
;1,x/1 ~r ~JUi"ir~
~ y