IPAC R - chg'd to Lot 7 Cinnamon HillHTE# X 5� -aa�� (z Harnett County Department of Public Health 25370
Improvement Permit 11
A building permit cannot be issued with only an Improvement Permit ((24n rJam 0-1
-!! PROPERTY LOCATION: en c c r LA
ISSUED T0: l f"\ i ff t !A° J7t� SUBDIVISION El5i c ut A►'trap LOT #
NEW"_ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S,FD — 5d A '717 - 3 Ott
Proposed Wastewater System Type: AAMz f twtc% CGt/an.�xr-
Projected Daily Flow: GPD
Number of bedrooms: _. _,�o rry>,y_ Number of Occupants: _�_ max
Basement []Yes ^J No
Pump Required�.lYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community y ublic ❑ Well / "Distance from well _f ,7_z feet Permit valid for. Five years
Permit conditions: 4111- r ,vla� / A — ❑ No expiration
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Authorized tate gent:: Date: 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 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 LOCATIO :LJ cn e c Im
SUBDIVISION �Sit LOT # 2
Facility Type: FQ- SP 1 %) 3 6 R New ❑ Expansion ❑ Repair
Basement? ❑ Yes oQ No Basement Fixtures? ❑ Yes 1�440
Type of Wastewater System** 'f r�'w c%c t/,,�t��� (Initial) Wastewater Flow: 3 _ GPD
(See note below, if applicable
i'►Ar7T 7 19 '""'th CA&" I (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size r b 3 gallons Exact length of each trench i o ,), feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: I tW inches
(Trench bottoms shall be level to +1-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions: rMA C 1'% 0,
ovc d C D\a t' -
Trench Spacing: feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
%i A
IbIk1cel- u'v �th� f &-l' jl
inches below pipe
Depth: inches above pipe
inches total
* *If applicable: / understand the system type specifed is different from the type specified on the apphication. / accept the specificatianr 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: t- �_ , l Date: d 3 - %9 • D 1 '
Construction Authorization Expiration Date: :3 -( f a L Yt
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Harnett County Department of Public Health ^
Site Sketcll
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,,_.. A PROPERTY LOLATON: Watt%c c M
ISSUED TO: OPIJ,"( A 2 SUBDIVISION n,, LOT #
Authorized State Agent: Date: -15 - J 5
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Division of Environmental Health VVVy vvV
On -site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: if � J>
Address:
Proposed Facility: Design Flow (.1949):
Location of Site: / , 4.A
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01=01,
Property 10:
Lot #:
File #:
Code:
Applicant:
a er uppiy. Public (J individual [ ]Well
Evaluation Method: _tit Pit
,t�-Y`� r
Type of Wastewater: Sewage [ J Industrial Process
Date Evaluated:
Property Size:
Properly Recorded:
[ j Spring
[ J Cut
[ J Mixed
[ J Other
Description
Initial System
Repair System
Available Space (.1945)
--�
System T
S Type(s)
' V ..
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: i �v
Others Present:
J t ,