IPACHTE# %S- Harnett County Department of Public Health 28339
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: W-8 W?L:r3rtoc)Q \4ley
ISSUED TO: � NQS �M ,t - SUBDIVISION CPQu t Z r3 P, Q sa<, o -.1-, LOT # O
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C- -,x " ;j S 1 A (, S
Proposed Wastewater Syste{n T e: °) 6 Q- - vim, k o T'I
Projected Daily Flow: T6 GPD
Number of bedrooms: L) Number of Occupants: '19�1 max
Basement ❑Yes '�No
Pump Required: ❑Yes1 No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: 5 Date: ' I 'S I LS SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guars ees the 'i?1A 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 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: ;1',CZ%1 SM -, INA PROPERTY LOCATION: 4';K "411L -PN -400D `� -7'
SUBDIVISION C.-+>,2vt-> S .F�,-s o, LOT #
Facility Type: ❑ New � Expansion El Repair
Basement? El Yes L� No Basement Fixtures? El Yes 'X No
Type of Wastewater System** ` - l a -9 -J<.�,< L U SJ
(See note below, if applicable ❑)
T—CLe— (Repair)
Installation Requirements/Conditions Number of trenches i
Septic Tank Size gallons Exact length of each trench 5b feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum_ Trench Depth of: '"' 6 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
(Initial) Wastewater Flow: L410 GPD
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: "A� C., Certs -s )" G �,Q.�.o£
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
**If applicable: /under fond the system type pacified is different from the type specified on the app/ication. / accept the speciTcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to�IionilNil, plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is sotto coms of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
VL4—) j5 Date:
Authorization Expiration Date:. 6 fT
HTE;# I S - S -3 S;�-3
Permit #
Karnett County Department of Ptiblic Health
Site Sketch
PROPERTY LOCATON: 's VA icy 00® NA tj
ISSUED TO: SUBDIVISION LOT
Authorized State Agent:-�S C0L"4U1 '70 Date:
MMI
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