IPAC #2 (WITHOUT PUMP)HTE#!a -s- a 9 `at32 Harnett County Department of Public Health
Improvement Permit 2 71 1 4
A building permit cannot be issued with only an Improvement Permit
Nt PROPERTY LOCATION: c 5-
a-0v cST
ISSUED TO: C' kK d tW~n =2r, SUBDIVISION ,~-ky U• /-1'-nL:49 LOT #
NEW lZ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: P D a 81 Sr8
Proposed Wastewater System Type: 2 S'-6- p-ecQv`~=w. r f e~
Projected Daily Flow: oZ`~U GPD /
Number of bedrooms: 02 Number of Occupants: , '7 max
Basement ❑Yes 21o
Pump Required: ❑Yes 521o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community R"'-Public ❑ Well Distance from well feet Permit valid for: R--Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: / 2°/2- SEE ATTACHED SITE SKETCH
The issuance of this permit by t Health 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 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: 9:1ky r, AA PROPERTY LOCATION:
SUBDIVISION /e'` ky LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes ErNo Basement Fixtures? ❑ Yes No
Type of Wastewater System" a x-17' /ee~fvu,~:c0. f J-A' (Initial) Wastewater Flow: GPD
(See note below, if applicable
?1,,,0 'E-o c~-S- 7- XQ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench 8 0
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. /6
Pump Requirements: ft. TDH vs.
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Conditions: l`-v--, c~ - t 'Le-"' ,A ~°,r
feet Trench Spacing: 9 Feet on Center
Soil Cover: kc;- inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specilcations 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 site. This
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 permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Construction Authorization Expiration Date: 7 l/1 `/7
HTE# /~---J-- A- 90-3,Z
Permit # 02-1 I 1 `il
Harnett County Deptartment of Public Health
Site Sketch
PROPERTY LOCATON: Ila mt-41.4 ,S-~.
ISSUED TO: ky b• /Vt "-anSUBDIVISION LOT #
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Authorized State Agent: Date: `7J/
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