REPAIR IPAC - will need an Operations15 5- 373 741
NTE# o.Harnett County Department of Public Health 28702
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/� PROPERTY LOCATION: 7d/Co Vf a(;f Al
ISSUED TO: goon$- Ti u:. I i'hY�exty f r J•• LF—r SUBDIVISION LOT #
NEW ❑ REPAIR EXPAR111011 ❑
Type of Structure: kox i`,.;j 6.,A &,-
Proposed Wastewater System Type: ;Zr7. It r '• . y1�.a�
Projected Daily Flow: d 1 S- GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ZNo
Pump Required: Qrs
Type of Water Supply:
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
❑ No ❑M be required based on final location and elevations of facilities
❑ Community (Public ❑ Well Distance from well feet
3c9
Permit valid foriel4f ❑ five years
❑ No expiration
Authorized State AgenVz aaa,I A C `r/ Date: - 14 t /W_ o! b SEE ATTACHED SITE SKETCH
The issuance of this permll(��y the Health Department W o way guarantees the issuance 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 instillation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .19Sa. and .1959 art incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED TO: 1l�nc I,,o:.I �r.4i4s+c✓T ✓:csl PROPERTY LOCATION: %6/ (, tJl4(,Zl ✓✓
/ QQ SUBDIVISION LOT #
Facility Type: Jeyx1;-tis ❑ New ❑ Expansion Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
(See note below, if applicable ❑)
(Repair)
Installation Requirements//Conditions Number of trenches
Septic Tank Size KYali -5_ gallons Exact length of each trench 30 feet
Pump Tank Size & hc� gallons Trenches shall be installed on contour at a
Maximum Trench Depth of.. 11 iotifes
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TON vs. GPM
(Initial) Wastewater Flow: d/s- GPD
Trench Spacing: 7 Feet on Center
Soil Cover. G inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
p ` Aggregate Depth:
Conditions: fes% Cc 1 �c -k• n a V awt r:fz l error {o
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.
inches below pipe
inches above pipe
inches total
**If applicable: / onderstand the system type specdied is different from the type spedbed on the application. / accept the spedcadons of this permit
Owner/Legal Representative Signature: Date:
This f castmction Aunonaalion is subject to revocation if the site plan, plat or &a intended use changes. The construction Authorization shall not be tansferred when there is a change in ownership of the site. This
tonttrumon Authomaton is subject to compliance with the premium of the laws and Rules for Sewage Treatment and Disposal and to the cenditrons of this permit )tt AI IAtnt l )lit )Rtltn
Authorized State Agent/w w� xewf Date: / 4_1Z d/
��� Construction Authorization Expiration Date: �Z ( fl a w /e-
HTE# 2zpo r Permit # aV7o9,
Harnett County Department of Public Health
Site Sketch
,qQ _ PROPERTY LOCATON: —70/ 6 V S 4,21 Al'
ISSUED T0: .�Joc .� tra I Eac a wf �4/ SUBDIVISION LOT #
c
Authorized State ApntG 1& 1(1� Date:
yzl
c
0
o _
I _
EX:��:-9 � 6�a•
F. B„•, to �-Y - _ _
n