IPACNTE# 1(0 - 5 yls218 Harnett County Department of Public Health 29261
Wrovement Permit
e' a
Authorized State ent:
per
The issuance of this mit by
site is subject to revocation if
the taws and Rules for Sewage
Date:
SEE ATTACHED SITE SKETCH
Ith Department in no wif guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
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 m compliance with the providons of
int and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permjt)
The construction and installation requirements of Rules .1958, .1957, .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: PROPERTY LOCATION: 2'11-5 Qrtar Gree,4C. Ln
SU DIVISION /%Grn in9 12-a. (52 Zook) LOT #
FacilityType: A?p&A*maaab t tSLIC w2 sem'/ ❑ New E Expansion ❑ Repair
Basement? El Yes CAYNo Basement Fixtures. ❑ Yes ❑ No
Type of Wastewater System" 07-69,o Fte6v. �k< n S;ISltrab (Initial) Wastewater flow: 'r -V 6 GPD
(See note below, if applicable ❑)
Z 5 0,16 ETa c*-:cA- S Ls Via, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Sire ons gallons Exact length of each trench f r- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: h. TON vs.
Conditions:
Maximum Trench Depth of: 11$ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover. & inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
(4 inches below pipe
Aggregate Depth: Z, inches above pipe
12 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 it different from the type specified on the application. / accept the sperifnadom o/ hit 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 he transferred when there is a change in ownership of the sire. This
Construction Authorization is subject to compliance with 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 A _ Date: 1 Z/ o s Z 0/ 6
eT utKorization Expiration Date: IZlifoS / -rCp Z.t
A building permit cannot be issued with only an Improvement Permit
T6tY1L5
`
it
PROPERTY LOCATION: %:4 5 r rAf
C. reerC_ Lr) ,
ISSUED T0:
c
�1w etle _n SUBDIVISION bI e0L1 .
52 2C>y4c% LOT #
NEW Elek
REPAIR 11
EXPANSION Ca3/ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:.
P—pv,"kare
1 se—aad SF,,, &,A)
Proposed Wastewateriystem
Type: 02- S `/o
Projected Daily Flow:
24 0
GPD
Number of bedrooms:
Basement []YesNct
Number of Occupants: 1J maz
i—
Pump Required: ❑Yes GAR
❑ Ma be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
Public I-]WellDistance from well feet
����
Permit valid for. EXive years
Permit conditions:
_ I
❑ No expiration
e' a
Authorized State ent:
per
The issuance of this mit by
site is subject to revocation if
the taws and Rules for Sewage
Date:
SEE ATTACHED SITE SKETCH
Ith Department in no wif guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
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 m compliance with the providons of
int and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permjt)
The construction and installation requirements of Rules .1958, .1957, .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: PROPERTY LOCATION: 2'11-5 Qrtar Gree,4C. Ln
SU DIVISION /%Grn in9 12-a. (52 Zook) LOT #
FacilityType: A?p&A*maaab t tSLIC w2 sem'/ ❑ New E Expansion ❑ Repair
Basement? El Yes CAYNo Basement Fixtures. ❑ Yes ❑ No
Type of Wastewater System" 07-69,o Fte6v. �k< n S;ISltrab (Initial) Wastewater flow: 'r -V 6 GPD
(See note below, if applicable ❑)
Z 5 0,16 ETa c*-:cA- S Ls Via, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Sire ons gallons Exact length of each trench f r- feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: h. TON vs.
Conditions:
Maximum Trench Depth of: 11$ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover. & inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
(4 inches below pipe
Aggregate Depth: Z, inches above pipe
12 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 it different from the type specified on the application. / accept the sperifnadom o/ hit 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 he transferred when there is a change in ownership of the sire. This
Construction Authorization is subject to compliance with 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 A _ Date: 1 Z/ o s Z 0/ 6
eT utKorization Expiration Date: IZlifoS / -rCp Z.t
HTE# S- yU Z l I Permit # 2 9 06 j
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: (-;re-2V- L -n .
ISSUED TO: To.rr,S SUBDIVISIONFit CLd [5R Zvo <fL LOT #
Authorized State Agent: Date: I Z/ t Z / z
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:u Applicant: T&,-iS
Address: Zy S 9 r,. CWZZ - L4 Date Evaluated: 17 /d 5 / z b
Proposed Facility: 10(7- /><qQc r{„_&akDesign Flow (.1949): f_q0 f 4111d`�
Location of Site: V14e ins a�,,)`, Property Recorded: Ye -S
Water Supply: arublic❑ Individual ❑ Well
Evaluation Method:❑ Ager Bo ing ❑ Pit ❑ Cut
Type of Wastewater: 4YSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minmlqp
.1942
Soil
wetness/
Color
.1943
Soil
IN.
.1956
Sapro
Class
.1944
Restr
Horiz
595
rT. sss� sem.
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Description Initial Repair System Other Factors (.1946): r,on2
Systeal, Site Classification (.1948): ffc, '• S,onalty
Available Space (.1945) Evaluated By:
System Type(s) ZS' Z o CLe a. Others Present:
Site LTAR 3 p ,