IPAC RRHTE#N-s-'-A ~ IZY Harnett Count Department of Public .1ealth 25029
Y Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: CeE~Vtu-E. wvn~n~
ISSUED T0: J~ SUBDIVISION Sv4"a C)fl,~s LOT # .
NEW REPAII❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SV V ~ a x Co
Proposed Wastewater System Type: a5% ~Eocc ti ¢ N
Projected Daily Flow:
`34b LAn GPD
Number of bedrooms: Number of Occupants:` max
Basement ❑Yes ',K No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Mb) feet
Permit conditions:
Exact length of each trench °td feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: S~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Authorized State Agent.: 11S Date: \6V 6V6 $ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu of other permits. The permit holder is re ponsible 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..
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 installed in accordance
with the attached system layout.
ISSUED TO: PROPERTY LOCATION: s v ~~L~ C- a Cru ~o
SUBDIVISION LOT # Q
Facility Type: S~''~~ 64 New El Expansion ❑ Repair
Basement? ❑ Yes 1-M. No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** le Q f~ucG' o (Initial) Wastewater Flow: ~(DD GPD
(See note below, if applicable a °te iLCOuc~t0-4
~nra Syg-~~M (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size i O bC> gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Permit valid for. Five years
❑ No expiration
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
a inches above pip(
\c7. inches total
**If applicable: / anderuand the system type soeciled is different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
uiU bUIUUU~uV~I M~l11UIiLGnUl1 U wvjeu to ievuiahmi n we sae ian, piat, or me mtenaea use changes. me construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is sub Act to compliance w1tI4 th 419n- o laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: V, Date: V0 b 8
-ions Auth rization Expiration Date: t fit,
r- -
HTE# ~5ZVZ Permit # asQi~.°i
Harnett County Department of I'ublic Health
Site sketch
ISSUED TO:
SS
Authorized State Agent.
PROPERTY LOCATON: C &_EE-~swu.E CAA vrLCAh, Q~
SUBDIVISION Q) LOT # V3,
S WL~vE~ ~o~xs~Ot~ Date: SOIb~(
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