IPAC-SEE NOTES IN HTE PERMIT IS VOID 6-25-15HTE# t5 -S - .3S -83`f Harnett County Department of Public Health 28363
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:,ar-1-76 2
ISSUED T0: _ K7 C—T- S SUBDIVISION /`moo s - Z.J.r) .* s S LOT #
NEW 12'�' REPAIR ❑ EXPANSION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Som
Projected Daily Flow: 1) n GPD
Number of bedrooms: Number of Occupants: /y max
Basement ❑Yes R]"No —
Pump Required: ❑Yes 11No W/MM,aY'�e required based on final location and elevations of facilities
Type of Water Supply: ❑ Community L� Public ❑ Well Distance from well feet Permit valid for: L9" Five years
Permit conditions: ❑ No expiration
Authorized State Ag `.fix/ Date: '1 -Z-? — 155— SEE ATTACHED SITE SKETCH
The issuance of this permit by th th 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 t e 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 TO: V ; /`� � s.�' C PROPERTY LOCA ON:J�eJ-76 $' <21Z S� •�' �`�
SUBDIVISION o S 17"-- -� G'� � 5- LOT # /6
Facility Type: 5� Chew Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes YNo
Type of Wastewater System" Z 5--,7/0 '?, Ue xZv� S� r U (Initial) Wastewater Flow: <P GPD
(See note below, if applicable ❑)
P, da Z---2---2- Y-U�y parr)
Installation Requirements/Conditions Number of trenches /
Septic Tank Size Z v0 gallons Exact length of each trench S"OO feet
Pump Tank Size ; 7_b 0 gallons Trenches shall be installed on contour at ar h
Maximum Trench Depth of: Z O -)/8 inches
(Trench bottoms shall be level to +/-1 /4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: _� Feet on Center
Soil Cover: Z— inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: Z- inches above pipe
iZ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 1OFT. 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 specified is different from the type speciTed on the app/ication, l accept the specifications 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 provisionsofthe Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Aged. <_ / Date: `f -ZZ
Construction Authorization Expiration Date: 7 —7,'7
HTE # / —,3a -3,v Permit # 2R-56
Harnett County Department of ' iblic Health
Site Sketch
_ PROPERTY LOCATON,o./7G ,1!:; Di 1�> ?-Z
ISSUED TO: V �I�- --rS�C SUBDIVISION LOT #
Authorized State Ag6��,%�} Date: ur2
6
x x =;x
>I> > >;>
x= x x x x jx x x 1x 1= I=
> D'> a>> D D'> >'a Y
x n n n n'n n c: n n n In n n n
D
z z z z
m rr m
z z z z z z z T `1j '1' '17 rP,
rn m m rn m r-, m, D a> a a a
T, 7j 'r2', '17 'V, `J '1i ^ z Z
a c c 0 0: o o c o c o 0 o
m y
�10'piY�Ip
m
pp�t��7 m C
�I,a�z
�l
OIOIy>0 O
ml(Z l l,�''�''��
>�� rr
d z z m zI'�zl
z��'zlZjzldl"'rmjm rn'
lrn
v' O rnd�a m Zf��tOn;l�;m
� K y dl
jLL=
r) �i
x �iy d
r >
d 70:0 �'n 41cBIZ -71 � G) Pn�J
I—
0 0 r Glx — x �'m �.
xl0 ZIP
y'zlzI�
C C) C) tt �r) rrirllll R R'z
14 CId �'� m ��� � �
Z r�z�m r c � y n�rn z�� ��� 1
z��'z'zlr n x zIx d �i>I � �
dim mIIrIG�
m
YIY m, O y ,m r
m a m z'y x � Z �'� — r -I x'I
�Id d c�',r
d">
tz rm^
i
n. b ro z
x D O n n� x d d d
o�
a m<
z��
r o > z O C O r m
d �c
n D
d'e� x �r �' -�
<;m m m D h O Iz tn" t z o
T z
o �' x n z n°,� o
m p�
z�0 td m r m'm
p rn d z m z im o
IIx
Or O
O ��a C
�Im m o m
O „
,n to
I
O 'a
<,y z
> �n r
ao
n
a n
Izy o
n
rD-
Io •� c Ib
d z o n z
eo
~2tOr n
chi
zC�
tTl in
z
n;m
xxa
v x a m IC
'y Ib
n'a
x
m O a z
ro m O n m m m x
m y �tz n'z
n -3 O m< O x
O
z
1 z x c z z v
r>
o z n rn m
a
m
n
r
rA
Nj,7,.
NN
00
W
D l vi
CO
�w
J
VI
P iWN
WW
o0 00
wO
G00oPA
O
r
A
O
00
NV
O
Obi
N I
W
N W
�O O
Q > N
J
0\
y
�
��yy
G
U7
CC
G
G
�
pp
G
,
CC�
y
pp~
cn
p~
"C
In
mm
n
m
n
Inln'
0
0
n'n
0
o
fn
c
n
n
�
o
n
o
0
m
n
c
m
n'
�
°'°
C)
o
0
O ut .P N
Oo AI
w
O
CA
00 H 01 VO ?�
aai� n n�77 a n r f a�a _z �r-
z d O C z > i z z O 0 c O O
O
7y d
0
C-m
Z O r n n >z D D D>
!
a a mz z z
m
z z m ro
ro
m m x
Z z m
�r„
m r x ID
z
� � � :v I� •O to 70x-' O xO
O > > C z O �hy'm Iy
O �Z
�n ,Oby a
rz
°7
z0
z G G D z yn A 7y
n 17y <
x�<
m
v, 100 I v 1
ro O� r
O O
Cc)
[r
N N
("A(,.QACA LA Vl Ln
_
---
"0 �c ',C �.o I-U�i�Oi�0i0',�O vO�N N�NiNIN N
LA W W W
N' J IO IO
W
O�'�'�'O�
W W
0 �0\I01i0�
Dv O�iN
OOVI tJI01P PINI N P OO Patnt�'Cnivi�'✓i�Vt
�,Dv
Wv��N�rnio�
WIC DoJ'�
�IJ �1 J J J',Dv
0,''S��!�
ji
��
PIN Dv
W N It 17, P b
O,N W 00 00 :AIJ�i"O''vA -P W N IJ N'N N NIN
W ' OA Vt �O W Ch I QO .c �O -P -P"
-P N
W
P
tJl VO N W O 00
N D\ O N N Cn oo .- n N LI) cn V vA
wj�p �p O O 0 O'010
0, W P-
v 100�p
0\ J Ch
�00�O
O
0\ O CSD
NIO I,O WiO
n
m
-_I
m
r
Ln
--I
co
n
O
C
z
N
N
�P
z
n
�OC
C)
C)
w
n
M
T
rn
0
W
n
O
C
z
k k
II� -C I>I>�,
> O
O
C C
C C C 0 C C C^
0 IC
'.�
0 C O IO CIC i„
OC C C ^ d IO C
Ip lC
O C o 'O C C I^ O IC
d Id O d d I�
<
I 1 !
I
I I I I
11
rrixxx
a °'rn
zz
x x,xlx�In>c,1�Fn�njn,e�a�j�rn
'z zIrn rn!a
z11°O'
a s
a al�'l� olal� z
mly�
�1
�IO�O
O mIU�lZlz!rrl�
�Iz
�miZ dlz�Ibld� O'01
xIr
DIOL
Y Z
ZZ�m
�lz�m
Ixlc„ m rn1�1�
rn
rn
.tyIC1
mlC4
mlo
ISI
I z�z� err- c Ids
izl
i
zlni�p
rn x �iy mimla
o o
O
n
x�z'�j�
a �r',rn� a O � �
� ``� �I�IxIC7 zI�CIrna71C711�C
D Z �Iy'
mIZIY zl� a�'OIZ ZIZI�
�3 -d� 70� Z �
�
U Ito
yl�i,��
rnY''rn mal zl�;�'a
r d�mlx
x r
�m m
a
n r
��
�IIzln� �Im
m
rn;
m C7C1
r�
d >� m a rnllrlrn��,
��
��nIp10
IrnIrn
�C
z
o
m�l��
cl; r
�a:
a 10
z � �
nz
ZI z
d
x n D
a O
ol�t�
a IC = o r z z
d
r
r
D rn x io a Im a
o'z < z z° m n
r m n
a z Ili
r
nit
rn y
c z
z C'rxn z z z:D
IO Ix In
o
rn !z
r
m d„ �r Im zy�'z x
rA
n
x0
ro D
vz
d
;7�
r
o
C7 O 77 D r Cx
d z -� a 'c x m m
G7 z m z
r x
D r �n
C C
C O n 'Cn b7 O ti '�C
a d n g r[ z 0 r n
r n d! ro z m d y
C7
m
D
z[
n
x d
y m
Ln D
r
L, m! m x
a D .y o �n
D
y
tz Cc n z ar <
m x D c m �o D
m
s
m
C7 -Z3 ro Y L� z<
r 3<
D D r a n n z
rL IIm
m
D
m
aId
m a ro n in D
� z rn: ro
n
C
rn a n D x, z
x z< rn
,
y
n
x
rolz,
x
! o
a
m
Cy G7
xy
Z
n
n
m I
r
n
C,
W O
O
W
w� N �
[J w
A 0
O
Vi
:Ji -P
-P W H
O
W
J
J SIN
Cc,
'.'o O �. O
N !. W
"SJ A
W
Oo
c0
I�
W
�O
O;
A
O
W
O
D1
J
W
co
W
Cn
Ln
O !
oo
I p
�,
Ln
J
oo
�
L�
ro I
'v
°
° �°z
z
z
°
N
O
'—'
oo
J
N
N
Ic opo IQr
tJ
►'i
D"DI'n
D,r,D D r D D �Z ;D D .a rr a c c z D Iro _.
t d I'� '�� d -Z3 �� < Iz z 'o
,-Z3
m im .O m 10 �r �m to rzn o rn'IO o o m O �rzn m m 0r Im m iD r Iz
to z z m z t, z '.,. m 1 z z z Z '"' >< m r '�
cn v, cn
r Fl
r�r Id
r mm, m "m r m rz
00 00100 00100 00100 0o f co oo ! 'Co! 0N010N0 0N0 ..;�..�.
00100 000N0 0No 00Ico!No0'o0 0N 00
10NGo
oo00 00 00 l o0 00 1 00 oNNIoN0 N0o C O �o
�` P1
SIJ J � C7, O1 � J�J C1 vi vt �I A1Cn,o� N O�'�1��,�l �l1 A �� PI���CJ[100 00J0-j D
-
W O Vt N N O N W C.h W W C.11
-P N Ch V1 Vl W, .P,
VO J
01 P O J llv[IJ P oo P �7 O JIB JIB av 00 � NIS P;— ��0� a �t1W Y) F �O'N,�
i i
l i i
�O'W N'O_�:W oo JIB j�l C1il��`O10 uj 00 O;00 W�Njch N oo Oivil�
�l'NiVi' i.P�l v[ N..-Ploo ��l�lw;oo O�IOo .-- O O O�:P
WlW OIOI P O10 00 0 00 �1
�1.0, .QClcIO, OOi00.-P�01, N', 00 0100 00 J!.W,, 00 WWO'N'I-P-.AWW
z
n
�OC
C)
C)
w
n
M
T
rn
0
W
n
O
C
z
Department of Environment, Health and Nat, _, Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 4 9!Z1
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):0
Location of Site: Property Recorded:
Water Supply: [T Public❑ Individual ❑ Well
Evaluation Method:[-J--,kuger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ -8ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Z�O
0-100,56-
yo
Sal L<
VJV
3 Z ,, t.;rX
N
Z, 3
L- z3
6 - �r
5L
✓
�
5—
Description Initial Repair System Other Factors (.1946):
System IZ Site Classification (1948):
Available Space(. 1945) Evaluated By:
System T e(s) I ,T Zsr'" Others Present:
Site LTAR