IPAC- see James Brown Bldrs original layout for filingHTE# 1 `/•5- ..3.7(, b9 Harnett County Department of Public Health 27956
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:_ /0SQ CP to
ISSUED TO: r y Cv 15f SUBDIVISION LOT #
NEW ❑ REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: C--'y -f L =its f�'J
Proposed Wastewater System Type: a 1c."4-': w
Projected Daily Flow: V6 (3 GPD
Number of bedrooms: q Number of Occupants: ® max
Basement [--]Yes 2190
Pump Required: Elfe—s
Type of Water Supply:
Permit conditions:
❑ No ❑ May be required based on final location and elevations of facilities
❑ Community Er—Public ❑ Well Distance from well feet
Permit valid for:
9- f'i've years
❑ No expiration
Authorized State Agent:: f /��,. _ lt"�iw� .����`/ Date: 6 /9 /2c/t/ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no 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 Permjt)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .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: -61-'A CU AA"- "J PROPERTY LOCATION: /Q5-0
SUBDIVISION LOT #
Facility Type: ❑ New ZI/lExpansion ❑ Repair
Basement? ❑ Yes ONo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** (Initial) Wastewater Flow: q 8 U GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size gallons Exact length of each trench /0(3 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: �— inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: j;-E
e)< -rt' :, P -..p T>n l
�— --,A A z 4 4Q
Trench Spacing: % Feet on Center
Soil Cover: (o inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
* *If applicable: l understand the system type speciped is different from the type speciped on the application. / accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is 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 subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:. c w A&Z Date: G A 1.2o /'/
Construction Authorization Expiration Date: L/ 1 la o / 9
HTE# / (. y Permit # Q2` 5S%
Harnett County Department of iblic Health
Site Sketch
PROPERTY LO(ATON: /05—C) CP J4t,,,e.v4 Rd
ISSUED T0: SUBDIVISION LOT #
Authorized State Agen • c L-41&1-v Date: 6
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