HomeMy WebLinkAboutIPAC RRRHTE#/71S-J.zy yt fZ Harnett County Department of Public r,;alth 28710
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: b, t".r.ed
ISSUED TO'SUBDIVISION Yro -4t j- e;J1 ,& LOT # 5-4
NEW fK REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: fa 0 0
Proposed Wastewater System Type:f c y - J*-,
Projected Daily Flow: .360 GPD
Number of bedrooms: ? Number of Occupants: 6 max
Basement ❑Yes�L�lNo
Pump Required: ;Yes ❑ No ❑MMaa1 be required based on final location and elevations of facilities ��
Type of Water Supply. ElCommunity F:S Public ❑ Well Distance from well feet Permit valid for. Ira" Five years
Permit conditions: ❑ No expiration
Authorized State Agent: / • e h Date: y f3a' _ i!/f��"/6 SEE ATTACHED SITE SKETCH
The issuance of this permit by t e ealth Department in no y guarantees the n uana of other permits. The permit holder is responsible 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 insulation requiremenss of Rules .1958, .1951, .1954, .1955, ASK .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
/ 1
ISSUED TO:V an . ./:< �ci . n� PROPERTY LOCATION: oet.e�F-
SUBDIVISION LOT #5-8
facility Type: fF .0 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ Nopp Basement Fixtures? 11 Yes 1-1No
Type of Wastewater System** Tia ,n(Initial) Wastewater Flow: 7 6 0 GPD
(See note below, if applicable ❑) pp p !
A—V �x. M1Rctvc - o.-� 1-4_(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /000 gallons Exact length of each trench a Zf feet Trench Spacing: _� Feet on Center
Pump Tank Size /000 gallons Trenches shall be installed on contour at a Soil Cover. 6 inches
Maximum Trench Depth of /a 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: A4,,4,,n
�c- /aY oU
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 specifed is d0rent /tom the type specified on the application. / accept the sperifitationi o/this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is in ct to avocation if she site Is is or the intended use changes. The Cconstruction Aushonrxtiun shall not be transferred when then is a change in ownership of Me site. This
Construction Authorization is subject to com ce ith the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit )tt AI IRINt/U lilt )AtIIX
Authorized State Agen - eP Date: .20 6 .� /f "//�0r
Construction Authorization Expiration Date: 2ti o 2 (3
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