IPAC this tank is for the beauty shop only - a second tank already exists for the homeWE #11 Harnett County Department of Public Health • J
•
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: C - - �o
ISSUED TO: O%ON E. SUBDIVISION C-4 -9rlL S C11.6 -)L. F LOT # 46
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: gSa 10" Slao4
Proposed Wastewater System Type:
Projected Daily Flow: a.5 C7 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ';K No
Pump Required: ❑Yes "Es No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well t CEO feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: '. J \ t %tiJ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu r permits. The permit holdeTr 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 Improves nt hall 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, .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 T0: PROPERTY LOCATION:
SUBDIVISION C`)9CLESS -5 LOT # 4b
Facility Type: -9a U" St- Io? `�� C�sA�25 New ❑ Expansion ❑ Repair
Basement? El Yes "R No Basement Fixtures? El Yes No
Type of Wastewater System ** a cS10 9, t:0 v t,5" b > Y5 Ta-.M (Initial) Wastewater Flow: ',�5 ® GPD
(See note below, if applicable ❑)
Pu rn9 'l-® Q-6Vo RC-OQ UV 10 J,J (Repair)
Installation Requirements /Conditions Nnnnhar of tranrhat D
Septic Tank Size 1 0 U 01 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench 7
Trenches shall be installed on contour at a
Maximum Trench Depth of: S "c�
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
feet Trench Spacing: 1 Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
A regate Depth: inches above pipe
Conditions: �'.t_:. MV G.a, Vc.orn S 140f S'R U 57 S L (Lc- C.i _J3 o inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: l understand the system type speciped is diNerent from the type speciped on the application. l accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Auth i subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subjectj.4orrpi7n he proviLions okQe Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: DVS Date:
Constr-ubft Authorization Expiration Date:
HTE# `3' 5— 3'a% Permit # Z �
C -)ea,-S5 G�2 (r���. 7-'A2r1 {Lo
jl / f
cl�
5""1 X. SO
MAP),
-141wy C �.-
10