IPAC REPAIR - Cooper Farms Lt 11FE#IZ?Q�\ a., Aarnett County Department of Public Health
28305
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO: �-„ce �-�o ,,ES SUBDIVISION C,D0?CQ. LOT # 61
NEW ❑ REPAIR,X EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5Vfl
Proposed Wastewater System Type: G-\2� arc�43
Projected Daily Flow: .3(0 GPD
Number of bedrooms: 3 Number of Occupants: C' max
Basement ❑Yes No
Pump Required:�qYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1)Q feet Permit valid for: ❑ Five years
Permit conditions: ❑ No expiration
Authorized State Agent:::!§�tt
The issuance of this permit by the Health Department in no way guarantees the iss
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
The construction and installation requirements of Rules
with the attached system layout.
Date: 3
SEE ATTACHED SITE SKETCH
permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
'ermit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
ISSUED T0: �v-,;>+� �\ c?rnGS
Facility Type: svo
Basement? ❑ Yes <N No Basement Fixtures?
Type of Wastewater System**
S b 1 ;f I; bl ❑
PROPERTY LOCATION:
SUBDIVISION C<50?G2- LOT #
❑ New ❑ Expansion ❑ Repair
❑ Yes No
( ee note a ow, I app Ica e ) a
P V A �� jay (Zf b N (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank SizeS)S---),k G gallons Exact length of each trench ► c)( feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: aL-1 -SQ inches
(Trench bottoms shall be level to +/-1/4”
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: Qom die l v QC)® 5 -'r -c---, tic= WL'NN
Mo
(Initial) Wastewater Flow:
Trench Spacing: Feet on Center
Soil Cover: i c�= inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
GPD
inches below pipe
Aggregate Depth: inches above pipe
ss CD 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: l understand the system type speciled is different from the type tperifed on the applicatiom l accept the rpecifirations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to n 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 su to compliance the pr ' s 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: '3 �7 3
Construe ' n Authorization Expiration Date: n aCj
HTE# �', 6 -
Harnett County Department
Site Sketch
Permit # at3�)-s
�..�� � PROPERTY LOCATON:
ISSUED TO: SUBDIVISION C -0®P62 T-w7j-.%:s LOT # 1
Authorized State Agent: 'i vL� oC Date:
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