IPAC RRHTE# 1o -5-_ Z- __739,6Z Harnett County Department of Public Health
Improvement Permit 2 6 2 4 6
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 'a 0F7-;',L-0 L`?~Y V-.D
ISSUED TO: W N.J Cocy7(cl"crstto H SUBDIVISION CN,5q.oN PNaE5 LOT
NEW ~ REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: --DD ( 66"0)
Proposed Wastewater System Type: a5`OJn R~UCJ~\ON 5 ~~S~M
Projected Daily Flow: 3~0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes _f~Z No
Pump Required: ❑Yes ~K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: -i 11 sb SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i ce of other permits. The permit holder is res onsible 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 Im rovement 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: ytvo Co aaS-S Q,J C;:5 ',0 N PROPERTY LOCATION: g u p,~ v LD.~c
SUBDIVISION ~v,t"~noN PsNG,S LOT #
Facility Type: S~fl New ❑ Expansion ❑ Repair
Basement? ❑ Yes --b4\ No Basement Fixtures? ❑ Yes No
Type of Wastewater System** ra~°'~a P.~uG-sto u Sys ; (Initial) Wastewater Flow: 3%C) GPD
(See note below, if applicable
~0tr;_ 10 \~EflvG-~idN (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size 1,o00 gallons Exact length of each trench a. feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1i a inches
Maximum Trench Depth of. Li inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Conditions:
Aggregate Depth:
inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATIONS MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / underhand the system type speciled is different from the type speciled on the app/ication. / accept the specircationt of this permit
Owner/legal Representative Signature: Date:
This Construction Authorization is subject ta.ttvocation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershin of the cite This
Construction Authorization is subject coZpliance~wrt~Thions the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 78 V`7 \6
Cons uction Authorization Expiration Date: f`1
HTE# 1Q -5-2L41311 V-Z Permit # '~L
1-1'Il-Ilett County 1)el)fll` Ine tit o , -Public 1Ie(lith
site 'Sletcll
PROPERTY LOCATON: gu P,tA LL.oy-r-- ~b
ISSUED TO: 'YA NN N-A A ~oTA SUBDIVISION Pwa5 LOT # _
Authorized State Agent: P aS~o~~~~sz -~oL 04CZ~ Date: . 1 x-71 ~0
G P.n-,E1~p N P t,a G~
Department of Environment, Health and Natural Resources Sheet:
Division of E.nvironmeata! Health Property ID:
On-Site Wastewater Section Lot
SOHJSYTE EVALUATION File M:
Cale:
for 014-al is WASTMATZ11SYSTIM,
Owner: Applicant
Addrew Date Bvatuated.
Pmposad Pacilitr 3 gcjv-aa" Desipmow (
1949}; `;6,O ~c~
P
.
Location d Sitar Pmpertir Recorded
roperty Size:
Watett 3uppi - Pubfid ❑ ltldividual ❑ Well
❑ Slag ❑ Other
Evatuadon Method: Auger Boring ❑ Pit
Type of Wastewater:
❑
Cut
emp
Industrial Process
Mixed
P
R
O
P SOM MORPHOL.OOY
OTHER
1 .1940 .1941
L Ludmm Hobson
PRO)PILB FAR`iOR3
.1941
9 Posidoo/ Dq* .1941 .1941 SON
M Slope 'X (Tn) St
y
l
I~
1956
tm
tpy
Corwdem WAMW
Ted Mia~tb
Color
soil Spv
LN Clan
~/7/
7-J 4 C- L
Q " G t .s v1P
F~-
site Classification (.1948x<,
`'°___L►____ e u (-R s e Evehiated By:
Others Premt
.1944 I RVM
ft* r