Loading...
IPACHTE# 1(o-5-40314is Harnett County Department of Public Health 29138 Improvement Permit A building permit cannot be issued with only an Improvement Permit VtaC:JS-C"\ i� On PROPERTY LOCATION:N�1`^f ISSUED TO: c d �.o L0 SUBDIVISION LOT # NEW 1< REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S FO i 77 v" ;-G(N Proposed Wastewater System Type: 'Zr9�e'P.EouC:,io rr Y ' f v. Projected Daily Flow: 360 GPD Number of bedrooms: 3 Number of Occupants: max Basement []Yes No Pump Required: ❑Yes MNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent::VL-as 45 Date: 1 ZO S SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees stance of other permit. The permit holder is res onsible 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 nprovemenc Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the pmvisiom 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, .1957, .1954, .1955, .1956, .1957, .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: V) PROPERTY LOCATION: NLai� 1 SUBDIVISION Facility Type: SGS ��c I*q� New ❑ Expansion ❑ Repair Basement? ❑ Yes �&k No Basement Fixtures? ❑ Yes No Type of Wastewater System" �S°I d RCDvr:;�,a' V SySi6aron (Initial) Wastewater Flow: (See note below, if applicable ❑) c� Sm�e ii:C.fl Or N 04 575 CJ(� (Repair) Installation Requirements;&nditions Number of trenches 3 Septic Tank Size N- Its ©cl gallons Exact length of each trench gd feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: cA t-) inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft TDH vs. GPM Conditions: LOT # 3 C o GPD Trench Spacing: Feet on Center Soil Cover. inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 speciled is different from the type specified on the app/itatioa / accept the .cperilations of this permit Owner/Legal Representative Signature: Date: This construction Authorization is subfe o"I'm the site plan, plat or the intended use changes. The tonsnunion Authonzation shall not be transferred when there is a change in ownership of the site. This construction Authorization yam. the ro co�aoe can ions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: —mss Date: h Z -v I T-) o ction Authorization Expiration Date: ac HTE# Permit # '�,91—R Harnett County Department of Public Health Site Sketch (� PROPERTY LOCATON: NGa1NN ISSUED T0: �2 x mco p�yp�o /( SUBDIVISION Authorized State A¢e TS5 WUV�`roLSDu�ii l 914 GU IAT OU(L 7 x6'� Q + a63, Date: _ ) )Q ()I )j LOT #