IPAC RRHTE# 10`5 Hari. -,t County Department of Public ..Aalth 28342
Improvement Permit
A building permit cannot be issued with only an Improvement Permit (1
PROPERTY LOCATION: BPsQecr—uF, Ca,ti\')a acv --1 Q
ISSUED TO: s— '4 to 1p�F`tM )Q SUBDIVISION -- LOT #
NEHIOI REPAIR EX SIN
Type of Structure: `- 6� (
Proposed Wastewater System Type: _sgr'0'- m
Projected Daily Flow: GPD
Number of bedrooms: L, Number of Occupants: max
Basement ❑Yes X No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for. XFive years
Permit conditions: ❑ No expiration
Authorized State Agent: NS Date: SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in guarantees the iss of other permits. The permit ho er is responsible for checking with appropriate governing bodies in meeting their requirements This
site is subject to revoation if the site plan, plat, or th tende ha The Improv ent 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 d DisWposal a dation mit.
kv,s4c s I t 7) 6 -r�,RS
Reauired for Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .IM, .1958. and .1959 are incorporated by referenas into this permit and shall be met Systems shall be installed in accordance
with the attached system layout r�
ISSUED TO: EjyCO PROPERTY LOCATION: bPQZF_GU E. Cti vQXA
SUBDIVISION — LOT #
Facility Type: `�� " �� T X65 K New ❑ Expansion ❑ Repair
Basement? ❑ Yes _4�, No Basement Fva* (tures? E] ;S Yes N�
Type of Wastewater System** `c� S �is T\mliCl U r STEM (Initial) Wastewater Flow: 4'y0 GPD
(See note below, if applicable ❑)
&C TO
Y-C-0kjc' l C) A-4 (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size Iof' 6 gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: I feet on Center
Soil Cover. 1—,�L inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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: / anderr and the system type specified is different from the type spedfed on the app/icaaon. / accept the rpedfirationr of this permit
Owner/Legal
Construction Authorization is
plat, or the intended use changes. The construction Authorization shall not be
and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent_�, Date:
Constra 'eq Authorization Expiration Date:
Date:
SEE ATTACHED SITE SKETCH
HTE# Permit # 'a` 3y2,
Harnett Countv Department of ll�iblic Health
Site Sketch pp
PROPERTY LOCATON: gP2AGGV6 G-1 U%cv-� `��
ISSUED TO: SUBDIVISION — LOT #
Authorized State Agent: l�j �Ll dEl�OL\�S�r�Date:TI�S
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