IPACH T E # 1,Gs_7(6a-(8 Harnett County Department of Public Health 28413
Imurovement Permit
Authorized State Agent: ev'L 'xeej Date: 6lZp Z 01' SEE ATTACHED SITE SKETCH
T
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, .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 T0: C.PROPERTY LOCATION: /� '4A
SUBDIVISION C>.-, we // LOT # -Z
Facility Type: 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 21N o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** o7 5-7. ,eed j sk `:� S,jJ�e,ti (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
o2!—er. A" (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size %0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench /00 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: f c X V inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil (over: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
nn Aggregate Depth:
Conditions: &v, dtr�, lrnel C.)', C' -1 vvr—
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.
inches below pipe
inches above pipe
inches total
**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 Signature: Date:
This rnnstnictinn Aothnriratinn is subiect to revocation if the site Dian. plat or the intended use chances. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to complipeewith 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 Age C - ��fli Date: 6,/d
Construction Authorization Expiration Date: c. 1a 2
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: �vrwn� C
PROPERTY LOCATION: ,�e1'flar.�•
QJ -r • ^ SUBDIVISION yr r tri e.t/
LOT # A
NEW Z
REPAIR ❑ .
EXPANSION ❑ Site Improvements required prior to Construction Authorization
Issuance:
Type of Structure:
/419 /y'X 71)
Proposed Wastewater System Type: dr
Ay 2gdvc{
Projected Daily Flow:
-.36 a
GPD
Number of bedrooms:
3
Number of Occupants: max
Basement []Yes
2'N_0
facilities
Pump Required: ❑Yes
I✓J No
❑�Ma}be required based on final location and elevations of
feet Permit for:
Five
Type of Water Supply:
El Community
Is1 Public ❑ Well Distance from well valid
years
Permit conditions:
❑ No expiration
Authorized State Agent: ev'L 'xeej Date: 6lZp Z 01' SEE ATTACHED SITE SKETCH
T
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, .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 T0: C.PROPERTY LOCATION: /� '4A
SUBDIVISION C>.-, we // LOT # -Z
Facility Type: 2 New ❑ Expansion ❑ Repair
Basement? ❑ Yes 21N o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** o7 5-7. ,eed j sk `:� S,jJ�e,ti (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
o2!—er. A" (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size %0 gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Exact length of each trench /00 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: f c X V inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil (over: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
nn Aggregate Depth:
Conditions: &v, dtr�, lrnel C.)', C' -1 vvr—
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.
inches below pipe
inches above pipe
inches total
**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 Signature: Date:
This rnnstnictinn Aothnriratinn is subiect to revocation if the site Dian. plat or the intended use chances. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to complipeewith 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 Age C - ��fli Date: 6,/d
Construction Authorization Expiration Date: c. 1a 2
HTE# 8 Permit # c2 %q /-�i
Harnett County D.
partment of 1"ablic Health
Site Sketch
PROPERTY LOCATON: /e.r 4 r1ec!
ISSUED TO: <-� e �uri P�. SUBDIVISION (-Ikll LOT # a.
Authorized State Agent:
@.,r Date:
j 6r
d
,r4,r led
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated: 6/2 &
Proposed Facility: Design Flow (.1949):
Location of Site:Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: ❑ Auger Borg ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I .1940
L Landscape
E 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
o- j
�1
�/�r-,���✓�
2-0
�- Y6
b" -
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):/-/—
Available Space (.1945) Evaluated By: (f
Site —
ST e(s) a Others Present:
Site LTAR �