HomeMy WebLinkAboutIPAC RHTE#N`5--'~a~t 2 Harklett County Department of Public dealth 2 5 0 2 9
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ~`~~1 t u E ~a v to ~n
ISSUED TO: SUBDIVISION Z;4 UN bc,- 5 LOT # _
NEW,K REPAI5,❑ ~PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S t-4 - - ~ k- x (off}
Proposed Wastewater System Type: Cnrw~oc~Pt
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: - max
Basement ❑Yes '~K No
Pump Required: ❑Yes ❑ No X May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community '54, Public ❑ Well Distance from well 1t5a feet
Permit conditions:
Permit valid for ,Five years
❑ No expiration
Authorized State Agent:: ~t~ Date: ~bI 6I e$ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu of ,her permits. The permit holder is re ponsible 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 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, ASS, .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: C__Q_ y 1~LG C; k U 2G~
_ SUBDIVISION ~~yi sN 0~,,~5 LOT # \3
Facility Tyne: S ~ 1Bbd Now F-1 Pvnancinn (-1 R...
Basement? ❑ Yes No Basement Fixtures? ❑YesNo
I "I
Type of Wastewater System** (Initial) Wastewater Flow: '~~4 a GPD
(See note below, if applicable
N IRanairl
Installation Requirements/Conditions
Septic Tank Size t d bt> gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Number of trenches
Exact length of each trench °\O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: C, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
a inches above pipe
\c~ inches total
**If applicable: / understand the .system type ,rpecibed it different from the type specified on the app/ication. / accept the fpecidcations of this permit
Owner/legal Representative Signature: Date:
u -w . - -J- r~ ic.oiauon we Inc pear, or me mtenaeo use cnanges. ine construction aumonzauon shau not be transterred when there is a change in ownership of the site. This
Construction Authorization is subj Ito compliance witktth ns o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: 94 Date: VZ b ~
Tons ' Authtlrization Expiration Date: t
HTE# Permit # a..`(3-.\n
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Ctrs sy suf. C~ yru~~
ISSUED TO: Ss 6si-~ SUBDIVISION LOT #
Authorized State Agent: CoZ,,'i Date: ~0 b
GZ 'NCO
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