IPACHTE#//, -5-39315` Harnett County Department of Public Health 28988
Improvement Permit
A building permit cannot be issued with onl n Improvement Permit
Authorized St Date: Y;-4'4 f to SEE ATTACHED SITE SKETCH
The issuance of this permit 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 pmvisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The comrnction and installation requirements of Rules .1950, .1951, .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: ZJG. PROPERTY LOCATION:C-T<,61J0
IV I SU DIVISION D—,atGD /.JOS LOT # 35
—<Jf4N SU
Facility Type: New/No
Expansion ❑ Repair
Basement? 11 Yes No Boaz ment Fixtures? ❑Yes
Type of Wastewater System** S% (Initial) Wastewater Flow: 3(c GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Condifions Number of trenches Z
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: fit. TDH vs.
Conditions:
Exact length of each trench JZy feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Zq-71 /% inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: ! Feet on Center
Soil Cover. �nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
co inches below pipe
Aggregate Depth: aag inches above pipe
47— 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: / andeatand the quem type rpeiciled it different from the type rpealed on the app/icapan. / accept the rpeuhadonr of thin 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
Lonstmction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and a pascal and to the conditions of this permit fit[ AI Ill 511t MtILM
Authorized Stat Date: -2,q--I b
Construction Authorization Expiration Date: C) -2-,-f — Z1
PROPERTY LOCATION/ DO to
D 1 /J �S�Od �a� 2�
ISSUED T0:
�]
IYr�
.�-�c,
-�� —�—e"C _ SUBDIVISION
P S LOT # 3�7
NEWFkK
REPAIR
EXPANSION 171 Site Improvements required
prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater
System T pe: 1n�
Projected Daily Flow:
GPD
Number of bedrooms:
Number of Occupants: _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 feet
Permit valid for. Wive years
Permit conditions:
❑ No expiration
Authorized St Date: Y;-4'4 f to SEE ATTACHED SITE SKETCH
The issuance of this permit 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 pmvisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The comrnction and installation requirements of Rules .1950, .1951, .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: ZJG. PROPERTY LOCATION:C-T<,61J0
IV I SU DIVISION D—,atGD /.JOS LOT # 35
—<Jf4N SU
Facility Type: New/No
Expansion ❑ Repair
Basement? 11 Yes No Boaz ment Fixtures? ❑Yes
Type of Wastewater System** S% (Initial) Wastewater Flow: 3(c GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Condifions Number of trenches Z
Septic Tank Size gallons
Pump Tank Size gallons
Pump Requirements: fit. TDH vs.
Conditions:
Exact length of each trench JZy feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: Zq-71 /% inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Trench Spacing: ! Feet on Center
Soil Cover. �nches
(Maximum soil cover shall not exceed
36" above the trench bottom)
co inches below pipe
Aggregate Depth: aag inches above pipe
47— 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: / andeatand the quem type rpeiciled it different from the type rpealed on the app/icapan. / accept the rpeuhadonr of thin 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
Lonstmction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and a pascal and to the conditions of this permit fit[ AI Ill 511t MtILM
Authorized Stat Date: -2,q--I b
Construction Authorization Expiration Date: C) -2-,-f — Z1
NTE# /lam- 5 —393/ f Permit # 295' 190
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON,�W-/DU( ell)
ISSUED TO: C � , SUBDIVISION C7 dR/) /w )eld /) S LOT # _
Authorized
'IE _
Ua�C J
W /
6n,,'6,0 t,J000-5 ;X
Date: tet' 7.51 —i le
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: Gt-�i 2
Address:<e Date Evaluated: V'
Proposed Facility: c5 � Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: [I'Kblic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: .0 Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mined
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position,
Slope %
Horvun
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure)
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
DepthIN.
.1956
Sapm
Class
.1944
Restr
Horiz
1
L'
a
3b 36'?5h
L
6 -ZL
3L
26 ie 3v
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space .1945) Evaluated By:
System T e s ? 6 ? " J' — Others Present: g`
Site LTAR