IPAC RRHTE 2-- s -a ag85 Ak Harnett County Department of Public Health
rA ® R 10- Improvement Permit 27488
A building permit cannot be issued with only an Imprpvement Permit
p PROPERTY LOCATION: /: /fjytGn t, -/tc/e
ISSUED T0: �o e1 �c�o.,, .1 �v�'e�✓t� F tw %�Y- SUBDIVISION �frl %}a j:�:�� LOT #
NEW RT' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S� p 3o2X'5--6
Proposed Wastewater System Type: Gt.7 Ve 1%Eun
Projected Daily Flow: �3b 4 -V NO GPD
Number of bedrooms: Number of Occupants: IL max
Basement ❑Yes 910
Pump Required: ❑Yes Ea No ❑ May be required b sed on final location and elevations of facilities ��-
Type of Water Supply: El Community El Public Well Distance from well /6U feet Permit valid for: E Five years
Permit conditions: ❑ No expiration
Authorized State Agent::421..� � * ,,eels% Date: 6 ���1 �0/� SEE ATTACHED SITE SKETCH
The issuance of this permit b the 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
squired 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 A Ve✓ , PROPERTY LOCATION:
SUBDIVISION 1W LOT #
Facility Type: ETNew ❑ Expansion ❑ Repair
Basement? ❑ Yes Z No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** (' On.J I-,- --'-'E °, A---`
(See note below, if applicable ❑)
J
Q,k -.e (Repair)
�,r:;, -
Installation Requirements /Conditions
Number of trenches 3
Septic Tank Size Z G®— gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. A inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
(Initial) Wastewater Flow: quo GIRD
Trench Spacing: 9 Feet on Center
Soil Cover: lry inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
(- inches below pipe
Aggregate Depth: Z inches above pipe
12— 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 speciflamions 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: G f�8lza��
Construction Authorization Expiration Date: 612s 2-616
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