IPAC RHTE# IL-1 — 5-3`I-&�a
ISSUED TO: 'irsea N �s> V—
NEWX REPAIR ❑
Type of Structure: f" Y cat+ . NA
Proposed Wastewater
Projected Daily Flow .
Number of bedrooms:
Basement ❑Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
Hal,.-ct County Department of Public _aealth 28158
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: r)reNr<s V V-�j
Z-om SUBDIVISION LOT # =
ION 0-65; Site Improvements required prior to Construction Authorization Issuance:
— oru
Number of Occupants: t max
No ❑ May be required based on final location and elevations of facilities
❑ Community Public ❑ Well Distance from well tOQ feet Permit valid for: Five years
I � ❑ No expiration
Authorized State Agent:: Date: \116-1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the of other permits. The permit holder is res n ible 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 Ironton' 'ant Permit shall not be affected by than w chip of the site. This permit it subject to compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. a
r
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: �O tN�L Cj,Sf Qg F=2.(b PROPERTY LOCATION: '�oe-5 CtiPos toUM \cam
SUBDIVISION LOT #
Facility Type: M P �S �ornE `ly x K New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No C.cm ^ vGtac • lr.rAL �� b
Type of Wastewater System" (Initial) Wastewater Flow: S GPD
(See note below, if applicable ❑) n
�� "
o1 o `�y U. \, 0 tat (Repair)
Installation Requirements/Conditions Number of trenches —Sr
Septic Tank Size IOOd gallons Exact length of each trench 's g 40 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: %'I z 1 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / onderitand the fyrtem type tpedffed it different from the type sped'ed on the application. / accept the cpeabrationr of this permit
Date:
This Construction Radiation, - iiiub tion if the skte, plat or she intended use changes. The Construction Authorization shatl not be transferred when there is a change in ownership of the site. This
Construction Authorization is subjep`to complia bl l "scoffs Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: � )13'
1 Cunst?oet otr,Authorization Expiration Date:
HTE# Permit # a%�5g
Harnett County Depailment of Public Health
Site Sketch n
Q4�� � PROPERTY LOCATON: \ �A
gn °O 4` NGUSV,
ISSUED TO: �v v u G z c STA SUBDIVISION — LOT # a
Authorized State Agent:
b11
Elm
iso
IN
Date: ��15111�