IPACHTE# I�_S_ 3� Harnett County Department of Public Health 28827
Improvement Permit
Authorized State ent �1 S Date: 4 ! —! to SEE ATTACHED SITE SKETCH
The issuance of this permit b s Health Department in no way guarantees the issuance of oder permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i 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 h 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 Buildine 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 T0: ro%4:kX ord*,�,1L nen PROPERTY LOCATION:-%/
V
SUBDIVISION I/' /fre _ LOT #
Facility Type: LTJ New Expansion ❑ Repair
Basement? ❑ Yes Rf No Bas ment Fixtures? ❑ Yes El No
Type of Wastewater System** - /z5?tX 11_ (Initial) Wastewater Flow: 7 9U GPD
(See note below, if applicable ❑) '�
�?Sl� (Repair)
Installation Requirements/Conditions Number of trAches Lf
Septic Tank Size /b� gallons Exact length of each trench e60 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: Lq 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. TDM vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 spedffed is different /rem the type specified on the app/icadmn. / accept the spedhcationr o/this permit
Owner/Legal Representative Signature: Date:
This construction Authorization h subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization dao not be transferred when there is a change in ownership of the site. This
construction Authorization is
with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
t t(— Cs
Authorized State Agent: Date: -7 —1
Construction Authorization Expiration Date:—%—
A building permit cannot be issued with only an Improvement Permit
v� b IA :CS
PROPERTY LOCATION: 2LZMS �Ui
ISSUED TO'
SUBDIVISION ! >ffLOT #
Construction Authorization Issuance:
NEW L REPAIR ❑5�
EXPANSION' ❑ Site Improvements required p or to
Type of Structure:
Proposed Wastewater System Ty e: os �% f�� c x L )
L4
Projected Daily Flow: GPD
Number of bedrooms:— ber
Occupants: max
Basement ❑Yes R No
:�M�,
Pump Required: ❑Yes El No
required based on final location and elevations of facilities
Type of Water Supply: ❑Community
Public ❑ Well Distance from well feet Permit valid los.
Ild'Flve years
Permit conditions:
❑ No expiration
Authorized State ent �1 S Date: 4 ! —! to SEE ATTACHED SITE SKETCH
The issuance of this permit b s Health Department in no way guarantees the issuance of oder permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation i 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 h 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 Buildine 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 T0: ro%4:kX ord*,�,1L nen PROPERTY LOCATION:-%/
V
SUBDIVISION I/' /fre _ LOT #
Facility Type: LTJ New Expansion ❑ Repair
Basement? ❑ Yes Rf No Bas ment Fixtures? ❑ Yes El No
Type of Wastewater System** - /z5?tX 11_ (Initial) Wastewater Flow: 7 9U GPD
(See note below, if applicable ❑) '�
�?Sl� (Repair)
Installation Requirements/Conditions Number of trAches Lf
Septic Tank Size /b� gallons Exact length of each trench e60 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: Lq 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. TDM vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 spedffed is different /rem the type specified on the app/icadmn. / accept the spedhcationr o/this permit
Owner/Legal Representative Signature: Date:
This construction Authorization h subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization dao not be transferred when there is a change in ownership of the site. This
construction Authorization is
with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
t t(— Cs
Authorized State Agent: Date: -7 —1
Construction Authorization Expiration Date:—%—
HTE# 16—S— 38111 Permit # 29,62
Harnett County Department of Public Health
Site Sketch
!� PROPERTY LOCATON:2ftJ
ISSUED TO: SUBDIVISION LOT #
i^R Z�S�fS
Authorized State Aes ��i//-�—G, A-� Date: N —
o
ev-t- 5 , 41r-
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: "W ( q_64 -4 -
Address: � Date Evaluated:
`
Proposed Facility: '6 , 'I Design Flow (.1949):
ow -
Location of Site: Property Recorded:
Water Supply: ff° ublic❑ Individual ❑ Well
Evaluation Method: El }auger Boring ❑ Pit ❑ Cut
Type of Wastewater: "{-Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Stmcturel
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
t d�lljv
3-•4�
icer
1
1 AksH •
11
y0
t�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): T25
Available Space (.1945) 1Evaluated By: .TE -1—
S stem Type(s) S' -E Z Y`> Others Present:
Site LTAR Y