Loading...
IPAC RHTE#/V-5— .35767Z Harnett County Department of Public Health 28383 Improvement Permit A building permit cannot be issued with only an Improvement Permit /� PROPERTY LOCATION, i �/17� /,.© ISSUED I.0. ems c�c�'�✓� SUBDIVISION LOT # NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: 743 Zg�g 1261>f Projected Daily Flow: nl�PU GPD Number of bedrooms: Number of Occupants: _rr max Basement []Yes No Pump Required: 0Yes ❑ No ❑ M be required sed on final location and elevations of facilities Type of Water Supply: ElCommunity Public Well Distance from well IlJ(::) f feet Permit conditions: Permit valid for: Z Five years ❑ No expiration Authorized State Age .: , Date: 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 i 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: /" � '�// PROPERTY LOCATION: /.6 �/ SUBDIVISION LOT # Facility Type: _ L/f New ❑lExpansion ElRepair Basement? ElYes No Basement Fixtures? ElYes L7 No Type of Wastewater System** t/r.--n4,) (Initial) Wastewater Flow: GPD (See note below, if applicable ❑� PyA Repair} Installation Requirements/Conditions Number of trenches _ Septic Tank Size M0 6 gallons Exact length of each trench GlJ feet Trench Spacing: Feet on Center Pump Tank Size /&1 6 gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 21 "`� 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_ inches below pipe Aggregate Depth: inches above pipe Conditions: 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: /understand the system type speciped is different from the type specified on the application. / 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 Authorized State Date: Construction Authorization Expiration Date: SEE ATTACHED SITE SKETCH HTE # IQ -5 = i5z,07 /Z - Permit # Z8393 Harnett County Department •11 • , Public Health Site Sketch PROPERTY LOCATON:t,/7aSD11� ��-�..� ISSUED TO: /� �P� G?T" SUBDIVISION 6 LOT # Authorized State Age . Date: m