IPAC RHTE# J3 -- 3 1 /Z Hartnett County Department of PublIL Health
Improvement Permit 27382
A building permit cannot be issued with only an Improvement Permit .
PROPERTY LOCATION:. ,e j -'1 7 / /l !�
ISSUED TO / 11 13L 1�1 1)0 SUBDIVISION /fit+ �,s 1F ° LOT # .30
NEW I REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J F b
Proposed Wastewater System Type: C EZU i
Projected Daily Flow: le,D GPD
Number of bedrooms: — L3 Number of Occupants: Qmax
Basement ❑ L�'1 Yes No
Pump Required: ❑Yes ❑ No 0 Ma e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LEI Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for
ClFive years
❑ No expiration
Authorized State Ag • e-- �' ' --bate: _/ & Z--"' /_ 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 t e 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: = 5 ?1 r= ffdr-40ASk,5 PROPERTY LOCATION:
SUBDIVISION / %�,rt~•� LOT #
Facility Type: 3 ew ❑ Expansion ❑ Repair
Basement? ❑ Yes Basement Fixtures? ❑ Yes 2No
Type of Wastewater System ** Pu 0�0 Z 5-c- i', /Z 'u -z.f 1_� s+ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
ea- i-,� , (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size /CZ1L` gallons Exact length of each trench Ir, feet Trench Spacing: ! feet on Center
Pump Tank Size 00 G5 gallons Trenches shall be installed on contour at a Soil Cover: 4- inches
Maximum Trench Depth of. 2Y-)18 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
Z_ inches above pipe
/ :L inches total
* *If applicable: / understand the system type specified is different from the type specified ofl the app /ication. / accept the specifications 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
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State AgenK= Date:
Construction Authorization Expiration Date:
��l
HTE# ) :5 11 2-1 LIZ- Permit # 3
Harnett clounty Department of l�iblic Health
Site Sketch
PROPERTY LOCATON: ',�Qv 3'1 (5
ISSUED TO: 57t-blj CZ4 13a: Z.l SUBDIVISION LOT # 3
Authorized State Ag t: Date: &—Z,-13
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