IPACHTE# Harnett County Department of Public Health 2 5 9 4 7
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
~p PROPERTY LOCATION: MSNZY-s Q10
ISSUED TO: Y-e ` sE.l-c-'G SUBDIVISION LOT # 1,45
NEWA( REPAIR ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Pyw,C''~e 25°e ~~u(~soN Sy>;"E~
Projected Daily Flow- 3G6 GPD
Number of bedrooms: 3 Number of Occupants: C~, max
Basement ❑Yes No
Pump Required. fSkYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well l 0 o feet
Permit conditions:
Permit valid for Five years
❑ No expiration
Authorized State Agent: eC-wS Date: 3,30%9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is a of other permits. The permit hol er 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.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: \44 N:~S,--, Q,Erlr-kE \"I PROPERTY LOCATION: C~P2~ s
SUBDIVISION A5 vi C.5 ALP LOT # 1a5 _
facility Type: SFZ'D , 9 ~-'A$ ~ X New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement fixtures? ❑ Yes X No
Type of Wastewater System** ('~v MP ~a ~XS% Zsouc:,~, o., SyscEK. (Initial) Wastewater Flow: 3~0 GPD
(See note below, if applicable
90 r2P-5, Q.E0 Le-5Ntir,Sys;tro (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size tC-t, a gallons Exact length of each trench 1 S feet Trench Spacing: Feet on Center
Pump Tank Size 1 nod gallons Trenches shall be installed on contour at a Soil Cover: fo inches
Maximum Trench Depth of: 1 aL 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 i e
(onditions: M,.Y,. oon at~' Co "G F ccvEn-. Ntr_oeo ovcQ
~--i crt C n,3--r- Q) E. VIZJ ~p pry S F_P-'x c. S ys- Ec4\
rr
Aggregate Depth: inches above pipe
inches total
Je 0-T V-- 5 ACA .aecraa o.t 11kk,.<.±~- t
V2 P, ci, PtiS. _
* If applicable: / vnderftand the fyftem type rpeciried if different from the type tpeciled on the app/ication. / accept the fpecificationf of thif permit
Owner/Legal Representative Signature: Date:
This Construction Authnmation is mhinrt to ravnntinn if tho dm ^1- ^h. L..,...A.a
r- b"' °1 ^°u- Ilk- unan nut ue -111mrleu wneu mere is a mange in ownersmp of the site. Ina
Construction Authorization is subject to compliance ffe Pr~ of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
a
Authorized State Agent: \~S Date: 3 1Itio
~
Authorization Expiration Date: -313(111
HTE# Permit #
Harnett, County Depailmen t of Mtl,)I i c Health
bite Sketch
PROPERTY LOCATON: M giL114s Q~
ISSUED T0: . ~~E<u-~ ~NG. SUBDIVISION -nmwPo¢o LOT #
Authorized State Agent: hLw -r0Ls6Z0q7) Date: 3' ~Ohb
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