IPAC (2) This permit replaces IPAC issued on 3-15-12HTE# ZZ -ZW&. Harnett County Department of Public Health
Improvement Permit 2 6 8 3 2
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:~✓,~5'f
ISSUED VTOZ-+&dn>!1.Z 10b • --)'J- SUBDIVISION LOT #
NEW REPAIR EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:
Projected Daily flow: t GPD
Number of bedrooms: Number of Occupants: max
Basement ❑YesCI"No
Pump Required: ❑Yes ❑ No Z-MMa required bo on final location and elevations of facilities
Type of Water Supply: ❑ Community L1 Public 2 Well Distance from well ~ feet Permit valid for: L1 Five years
Permit conditions: ❑ No expiration
0
Authorized State Ag Date: _ 3 i Z SEE ATTACHED SITE SKETCH
The issuance of this permit by y e ealth 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 if 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 T0: PROPERTY LOCATION: f/y24? 1P° j eZ-
SUBDIVISION LOT #
Facility Type: C-24keig:~K 12-- 1Z New F-1 , Expansion ❑ Repair
Basement? ❑ Yes No Ba ement Fixtures? ❑ Yes L7 No
Type of Wastewater System" c ! ~ Z~,~ (Initial) Wastewater Flow: GPD -fir (See note below, if applicable
t~ U/&* 5;0,,//t tag (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size > t a gallons Exact length of each trench f feet
Pump Tank Size gallons Trenches shall be installed on contour at a .
Maximum Trench Depth of. 12 sc inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Trench Spacing: Feet on Center
Soil Cover: inches lZ zc'1
(Maximum soil cover shall not exceed r
36" above the trench bottom)
Aggregate Depth:
6 inches below pipe
Z inches above pipe
/2- inches total
**If applicable: /understand the system type specified is different from the type pecified on the application. /accept the apeciprations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization 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 ownership of the sits Thk
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this nermit_ SFF ATTArnrn CITF MTfN
Authorized State ent: Date: Z6 -
Construction Authorization Expiration Date: 3 °ZL)-- / 7-
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
HTE# 1Z _ °-Z&q (o Permit # i
Harnett County Department of Public Health
Site Sketch
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