IPAC #2 - CUSTOMER REQUESTED CHANGEHTE# 13 —3f LiLi5— Harnett County Department of Public Health 27703
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
d PROPERTY LOCATION: a 6
ISSUED T0:/r"�E ('�c1 °i-� SUBDIVISION I LOT #
NEW 2" REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5ry
Proposed Wastewater System Type: `V r. t'tGit 1UL4-1X/Q
Projected Daily flow: t.l b GPD
Number of bedrooms: — Number of Occupants: max
Basement ❑ L'T Yes No
Pump Required: ❑Yes ❑ No M 'be required b ed on final location and elevations of facilities
Type of Water Supply: F-1 Community Public Well Distance from well feet Permit valid for: Eff ive years
Permit conditions: ❑ No expiration
Authorized State Agen Date: C%- Z' --- ii`3 SEE ATTACHED SITE SKETCH
The issuance of this permit by gXealth 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: 4-C,3 &J:4 a C.. PROPERTY LOCATION:
E
_/ SUBDIVISION —� LOT #
Facility Type: -SrI6 New ❑ ,.Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 13 No
Type of Wastewater System ** 25 n 2-,1, t*50 " � i (Initial) Wastewater Flow: 3Cg0 GPD
(See note below, if applicable ❑)
"Z' =�60 (Repair)
Installation Requirements /Conditions Number of trench (s 3
Septic Tank Size I y ~ gallons Exact length of each trench f 2c� feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 7-4 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 1_ inches below pipe
Aggregate Depth: L inches above pipe
Conditions: 17- inches total
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.
* *If applicable: /understand the system type specified is different from the type speciped on 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 provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State A t: Date: /1 ° 7- -J° -1 3
Construction Authorization Expiration Date:
HTE # 364�;- Permit # :7-7 63
Harnett Connty Department of l�-tblic Health
Site Sketch
PROPERTY LO(ATON: -.-
ISSUED TO: SUBDIVISION LOT
Authorized State Ag Date: ZLZ75�-13
Z,-/