IPACHTE# W-sue- i9S)4 Harnett County Department of Public Health 2 4 6 6 5
~g-5.1 8515 Improvement Permit
A building permit cannot be issued with only a~rovement Permit
~ ~ PROPERTY LOCATION: m C_r•r , fld
ISSUED T0: CAC1 ~ (CrC5(N Wart-' 1 SUBDIVISION LOT #
NEW14- REPAIR ❑ EXPANSION ❑
_ Site Improvements required prior to Construction Authorization Issuance: f q_!p'4 /f
Type of Structure: - 0 X
Proposed Wastewater System Type: t2 z
Projected Daily Flow: 3 G 0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement'0es ❑ No ~
Pump Required: ❑Yes El No a r-Hay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public -)9L Well Distance from well k QJ feet Permit valid for ;F1 five years
Permit conditions: -S Ti (S 0,-A n R\~ot. u S 2~ (e or h rdc .Qr ❑ No expiration
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Authorized State Agent: ;-z -f`S Date: -13 ` 0 ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the alth 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 subject 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 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, .I9SS, 1956, .1957, .1958, and AM are incorporated by references into this permit and shall be met. Systems shall be
installed in accordance with the attached system layout.
ISSUED TO: CA✓L ~rcl~ („fir h s PROPERTY LOCATION:
3 X32 SUBDIVISION
Facility Type: S-110- 0""72 New ❑ Expansion ❑ Repair
Basement? Yes ❑ No B ment fixtures? ❑ Yes 13'No
Type of Wastewater System** /ZA„e ( (Initial) Wastewater Flow: GIRD
(See note below, if applicable
0, (Repair)
INWktion %iliremenwcoaditions
Septic Tank Size )lsnn_ gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
(onditions:
Exact length of each trench Y 7J feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. J_ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
LOT #
12, G
Trench Spacing, ( Feet on Center
Soil Cover
inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
12- inches total
`*If applicable: l nndeatand the ryrtem type fpeclked it different from the type rpecified on the application. l accept the .rpecitcationt of thiJ pemrit
Owner/Legal Representative Signature: Date:
This Construction Authoriution is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownersi
of the site. This Construction Auth ' t' is subject to complian with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
SEE ATTACHED SITE SKETCH
Authorized State Agent: L Date: 03-)3- 09
Construction Authorization Expiration Date: 3 ' 13 o D/ y
HTE# -5DC - 115 jq a Q l9~/~ Permit # T4 6 (o Harnett County I eptIlliYlent of hlibliC Healtb
ite Sketc'll
PROPERTY LOCATON: Tr✓t ~i.iri , d
ISSUED TO: G r ~pTp.c a WAC-r"(N SUBDIVISION LOT #
Authorized State Agent W- Zf Date: O 3-1 3-3v
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