IPAC RHTE# Harnett County Department of Public Health
Improvement Permit 26233
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: VA" IG(L
ISSUED TO: SUBDIVISION VBq!51-f10N A>>_L LOT # $
NEW REPAIR 'PANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `5H9 S 4, n3~-
Proposed Wastewater System Type: a5`jasZEw ibN Sje7tsn
Projected Daily Flow: 3~O GPD
Number of bedrooms: Number of Occupants: ~O max
Basement ❑YesNo
Pump Required: ❑Yes -J&No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community "5~ Public ❑ Well Distance from well 1 0 0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: - Date: I I III '-Z) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the ce 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, .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: 2~6~NG-1 V\OC-,ES 1N e- PROPERTY LOCATION: V~oQ'q Sr)-- ems
SUBDIVISION (Nrz 5 Snr-, LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~R No Basement Fixtures? ❑ Yes "T'aNo
Type of Wastewater System" lw1o REOvc:soN S-J C- (Initial) Wastewater Flow: GPD
(See note below, if applicable
lsl* ~ 0G' , U 0 5 ybTGM IRanairl
Installation Requirements/Conditions
Septic Tank Size 1 C<711n gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Number of trenches -5
Exact length of each trench
Trenches shall be installed on co tour at a
Maximum Trench Depth of: ' ~
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
feet Trench Spacing: Feet on Center
Soil Cover: inches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (IN(LUDING 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: /understand the ystem type specified is different from the type specified on the application. /accept the tpecijcatians of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is 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 suboo, *comPlia he
nce ro n Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: eL~ Date:
truction Authorization Expiration Date: s
HTE# OD-5- )-M 2 Permit #
1-lanjett County I)ept-tilnl(-, nt of Miblic Health
bite Sketell
PROPERTY LOCATON: A0clN -sL
ISSUED TO: SUBDIVISION ee)>)m .ON LOT # 3'Z
Authorized State Agent: `,%.wGrL-,foL)-so
9~4 Date: 1a,'
a.,s"jo R.EOV~~vN
~-EPA12,
5 6 ~'~3Z I
fl
C
01-Q, > E L~ LOoif
Departmcnt of EwAmnment. Health and Manual Resourcu
Division of Environmental Health
On-Site Wastewater Section
SOarsrM EVALUATION
for ON-SM WASTZWATZB SYSTEM
owner. Applicant
Addr= Date Evahmted:
Propvaed Faduty; 360 Dedp glow (.1949r acoQ nor,
Location of Site: Property Recorded:
Wata $npply Ik ❑ bdividual ❑ Well
Evaluadou Method: Auger Boring ❑ Pit ❑
Type of wastewater: Sewage ❑ Industrial P= u
Shed:
Property ID:
Lot
Filet a:
Code:
Property Size:
❑ Spring ❑ other
cut
Mixed
P
R
O
F
I
1940
01L IN10"HOtAOY
.1941
THU
FROFIi,JS,pAC rpEt'J
L
9
N
Lambe"
Posideal
Stu" ti
Horizon
DqA
00
.1941
9k el
Text"
.1941
Condoner
Mhurefolff
.1942
sea
wefnad
Cola
1 1
std
IN.
.1956
SWO
Cfaft
.190
Re*
Hod$,
Ptoo
Clow
LTA:
4
C> li
c
Vi o-,~
,
t6 36'
G
c Ls / ~
1F"L'
~ j
SDK
F2 f'`j} ~;e
P s
4LTAit 9 I- KePw 3YOther Factors (.1946)
s 194! ite Classiftdou (.1948) ,rj
r Evaluated Byt,)-c
~,as Presetlt: