IPAC B - tank 2HTE# 1i �5- 3a��5P� Harnett County Department of Public Health 27789
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: US LAIAA
ISSUED TO: SUBDIVISION �pec`1t =,s �Ry ,..o t{„ LOT # WK
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Qv Q L1r7�
Proposed Wastewater System Type: aS° /a
Projected Daily Flow: 2-4 -0 GPD
Number of bedrooms: `3.. Number of Occupants: Lt max
Basement ❑Yes XNo
Pump Required: Dyes f'E9:,-No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑Community Public El Well Distance from well t, F? 0 feet Permit valid for. Five years
Permit conditions: T}—) 15 'V--c)(L — `io -Tk,\L ��QQ OC)M ❑ No expiration
D I Q \A,,A -. �1q�t_ �\ Sr— _oo.�_N -VF '--�Vr)'CC.r C; < -e ms.
Authorized State Agent:: •1' 1J� Date: a11� 1)9 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the iss other permits. The permit holder is esponsib 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 ImprovemaN401t 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: PROPERTY LOCATION:
SUBDIVISION - P.t S 'S���� 0 LOT#
Facility Type: 0091—AX New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures. LJ Yes XNo
Type of Wastewater System' 2Q5 "oz 0 �6—z) U C9; '� d � � y � 6 S \ (Initial) Wastewater Flow: �_ GPD
(See note below, if applicable ❑)
S� /() V G'T 10 (Repair)
Installation Requirements /Conditions Number of trenches a
Septic Tank Size L ® ®O gallons Exact length of each trench `I 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- � 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
inches above pipe
inches total
* *If applicable: /understand the system type specified is different from the type specified on the application, / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is suble cation if the site lac, 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 compliance � ti. raj n;4ff s and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: \ Date:
Constru Authorization Expiration Date:
HTE# _ � 5B Permit #
Authorized State Agent: —\\ � \�— e `-+5 61 -NN6L7 o �Date: 2 i� 113
�. j `) "
US �a,1 � �olrfi