The URL can be used to link to this page

IPAC RRRHTE# , `s -3aec. Hari,-.t County Department of Public 2alth _ 27922 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: R CuvQ.Cxl ISSUED T0: M��c1"t �"10M E- � L SUBDIVISION S i C'S.SOn,1 LOT # NEW REPAIR ❑ EX SION ❑ Type of Structure: S Ffl GLa Site Improvements required prior to Construction Authorization Issuance: Proposed Wastewater System Type: Ou —e o 2S °/n avc.; t ON Projected Daily Flow: G ® GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes �No Pump Required�Yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well t © O feet Permit valid for: Five years Permit condition.. __ --�, ❑ No expiration Authorized State Agent:: Date: LI'1 lSi 1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance tt ermits. The permit holders resporlsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, plat, or ' ended u changes. The Improvement 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 an and to is permit.. 2G —v.S6,D 5 g _- ix," i�vtKG 5 ConsCtion 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: C0rnF0cG aonES PROPERTY LOCATION: C'Au�-G� SUBDIVISION ST &75o LOT # Facility : (G4'xI"�"7- tY Type: )R� New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System ** D-S* �D UG"i 1 cJ N ys sGn> Q urn P�_ (Initial) Wastewater Flow: �4 0 GPD (See note below, if applicable F-1) L-"'� (Repair) Installation Requirements /Conditions Number of trenches 4 _ Septic Tank Size SQ)ocs gallons Exact length of each trench feet Pump Tank Size 1 b OC 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: Q��a r.» 9'D lv'-s�6 S ' E S)e-& i✓,-> vza C) 'N V 20 4 0 -5 >h L- <i�Lo Trench Spacing: Feet on Center Soil Cover. C- inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: See WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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 app lication. / accept the specifications of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subject to re i if the 1'q' pla,, or the intended use changes. the Construction Authorization shall not he transferred when there is a change in ownership of the site. This Construction Authorization is !�e Coto complian o i ce yi h�e r laftws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Date: Li l 15 Construct kAAthorization Expiration Date: )5111 HTE# �-3��5Oa(� -2 Permit # Harnett County Department of Public ealth Site Sketch PROPERTY LOCATON: Q-QA ISSUED TO: SUBDIVISION S : ES s o 1 LOT # Authorized State Agent,��1a5 L)v CrZ, GL`�S�sJC ate: aGv�sb� 5�� Crl �., 1cc�U r, Giti c�C° C�„rF1L NE..Cp Eo O'v c-�L c tJo Cora��2ve�i �oe,r—T�Lp,�F,e. rNc- G P� n. o v rev 13� r V %r i