IPAC RHTE# 11--5- D Harnett County Department of Public Health
Improvement Permit 2 6 6 5 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ® VEiL1~Xi--Ls
ISSUED TO: ~c3c~EG2.o5~ 1-:~ C.~ SUBDIVISION 5;osvI-cq,cts.,, LOT # OS
NEW REPAIR ❑ EYNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF0 t L" ~ A115 r
Proposed Wastewater System Type: (24-tyC-v.SSN ez N Ix L^
Projected Daily Flow: L t~ GPD
Number of bedrooms: _4 Number of Occupants: 'S max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well \ bd feet Permit valid for: Five years
Permit conditions: ❑ o expiration
Authorized State Agent:: Date: " 11` !A I I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department m no way guarantees the issuance o her 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 rmit 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. n
ISSUED TO: S^~os-A cg e-5 L-1-c- PROPERTY LOCATION: C~ V~~1LL,~
SUBDIVISION S-a. C'~ross LOT # l
Facility Type: ram 9 C ~O x sC)~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Co --3-4 G-mil Z) G T--4 N (Initial) Wastewater Flow: GPD
(See note below, if applicable C"o '-J -4 Esc= N a N A L (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size I CnG U gallons Exact length of each trench 10 Q feet Trench Spacing: '~l- Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 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 0o inches below pipe
P9 A gre ate Depth: inches above pipe
Conditions: 'i ,crl C ~~~G~ Q a1 -0905 A' t E. 1 a inches total
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.
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifIcations of this permit.
Owner/Legal Representative Si nature: Date:
This Construction Authorization is subject to rev • if the site plan, t, or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This
Construction Authorization is sub*C-t ` compliance wtt~the pr s of the and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: -7
Construction thorization Expiration Date: _
NTE# 1~-5 a6e1.~ Permit # Z-~03
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: C"~~r~2~lu s
ISSUED TO: SS Z.~ SUBDIVISION o~EC,s?oSS LOT # 1b3
Authorized State Agent: Date:
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Depannzent of Environment, Health and Natural Resources Sheen
Division Of ErrvironMental Health
On-Site Wastewater SeWOn Lot e
SOIL/SITE EVALUATION File 0:
for ON-SITE WASTMATER.SYSTEM, Code:
Owner Applicant:
Address:.
Date Evaluated
ProPow Facility: 9 eXs,)Z M Dedp Fitt (.1949). L~
Property Size:
Lmdoa o(Sits
e
Sa
Property Recorded:
t
ppy;
Wat
b& ❑ individual ❑
well
(3 p g
S rin
Evduadaa Met2►od:
Type of Wastewater
rAugerBoring
❑ Pit
0
ad
ewage ❑ Industrial Process
Mixed.
P
A
O
P
1
1940
T Q, MO"HOCOar
R
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.1941
L
ape Horizon
P
AOF11$
FACT(
E Poetdad De
.1941
.1942
Soii
"
144
a slop. K
w Corwal "
Sou
re Mtnerefo
Cola
frt.
1
6
❑ Other
.1936 1941 Pto11>i
S■pm Redr CIeM
CIA= Hats. ALTAR
Site CialsiHcadon (.1948),5
Evaluated By: cam'
Others Prosent: -