IPACHTE# I -5-3 M6'9 Harnett County Department of Public Health 29267
Imurovement Permit
Authorized State Aunt / Daze: / - g —� SEE ATTACHED SITE SKETCH
The issuance of this permit by a Heo 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 it rite 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 lam and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
A building permit cannot be issued with only anqIm�YpYravement Permit /
Itr cl 2l
352
L
e')'Mes
PROPERTY LOCATION: J, i� XPZis4;S1 4?_1' Dc- t
St)( `
t4 34
The construction and installation requirements of Rules .1950, .1953, .1 9S4, .1955, .1956, .1957, .1956. and .1959 are incorporated by relere tats into this permit and shall be met. Systems shall be installed in accordance
ISSUED TO: .�t"al
V
SUBDIVISION Plodders Qo;,1e PNS LOT #
NEW
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization
Issuance:
Type of Structure:
'3 et.-
i f
LOT # 44/
Proposed Wastewater System Type: Z5,* RBaac4;.A S..41kA
New ❑ Expansion ❑ Repair
Projected Daily flow:3
o
GPD
Fixtures? ❑ Yes ❑ No
Number of bedrooms:
Number of Occupants: _4(; max
Qtd,ILf,�;o t>_fle—V
Basement ❑Yes
E3<o
(See note below, if applicable ❑) Q_VOVNZ
,b epvO,'�6 (ZeA QPQfS
Pump Required: ❑Yes
❑ No
5Kbe required based on final location and elevations of facilities
444e rel,.^ Sysi6 — (Repair)
Type of Water Supply:
❑ Community
(Public ❑ Well Distance from well feet Permit valid for:
��
R?flve years
Permit conditions:
Septic Tank Size /CYUD gallons
❑ No expiration
Trench Spacing: i
Feet on Center
Authorized State Aunt / Daze: / - g —� SEE ATTACHED SITE SKETCH
The issuance of this permit by a Heo 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 it rite 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 lam and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Maximum Trench Depth
(Trench bottoms shall be
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
of: 19-7-4- inches (Maximum soil cover shall not exceed
level to +/-1/4" 36" above the trench bottom)
Aggregate Depth:
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
Z- inches above pipe
I Z inches total
**If applicable: / understand the .ryrtem type tpenhed it different from the type tpecfled on the application. / accept the rpeciliationr 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 Authnnzation shall not be transferred when there is a change in ownership of the site. 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 Agent l _ i� f?�,a� �� Date: /-5 — /%
�� /��/� onstruction Authorization Expiration Date: i —<3 — Z2.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1953, .1 9S4, .1955, .1956, .1957, .1956. and .1959 are incorporated by relere tats into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: :' �tOt / eau"/
:F;lc_ PROPERTY LOCATION: 350 aX�rdsh7.e 0� C
14 _'r ,
s st t'f3 ;�
SUBDIVISION leu-4aler
PN
LOT # 44/
Facility Type: e a 5 I~
New ❑ Expansion ❑ Repair
Basement? ❑ Yes P7 No Basement
Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ZS'/�
Qtd,ILf,�;o t>_fle—V
(Initial) Wastewater Flow:
3loU GPD
(See note below, if applicable ❑) Q_VOVNZ
,b epvO,'�6 (ZeA QPQfS
X34..
444e rel,.^ Sysi6 — (Repair)
Installation Requirements/Cone itions
Number of trenches 4 -
Septic Tank Size /CYUD gallons
Exact length of each trench 15 feet
Trench Spacing: i
Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. G — I Z
inches
Maximum Trench Depth
(Trench bottoms shall be
in all directions)
Pump Requirements: ft. TON vs. GPM
Conditions:
of: 19-7-4- inches (Maximum soil cover shall not exceed
level to +/-1/4" 36" above the trench bottom)
Aggregate Depth:
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
Z- inches above pipe
I Z inches total
**If applicable: / understand the .ryrtem type tpenhed it different from the type tpecfled on the application. / accept the rpeciliationr 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 Authnnzation shall not be transferred when there is a change in ownership of the site. 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 Agent l _ i� f?�,a� �� Date: /-5 — /%
�� /��/� onstruction Authorization Expiration Date: i —<3 — Z2.
HTE# (o 'x'39 YK'8 Permit # Z9 Z G —4
Harnett County Department of Public Health
Site Sketch
&rrl�.rd r_a.
_ PROPERTY LO(ATON: c -?,5c> 5 a 1'43-
ISSUED TO: _ 5 tr-A(-� 6o; SUBDIVISION /--c 4.4,c n. moo; n i P LOT #
Authorized State
U/05u)-r-AQLi�—:
5v ttr5
p2o (oS C j
tlsI x UG 8, l
3,X, 6A:LA&,r f. 4(F.V- /
7xJS�A
Selo
"0' / `i
o�
v v 3es
r
268R� rL.
/ vii
9
<2r /k
a
7xJS�A
Department Of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
On -Site Wastewater Section Property ID:
Lot #:
SOIIJSITE EVALUATIONFile #:
for ON-SITE WASTEWATER SYSTEM Code:
Owner: 0, I Ji 3 Applicant 5 frnc,/ IYu /ems} T�
Address:35,; 0, Datevaluated:
E `< <x
Proposed Facility: J 6R SF 9 Design Flow(. /
Location of Site. F1 �i 34=, r"`/a] Property Size: 1 .4 L k t .
Water Supply. =- Property R 5`
Evaluation Method:❑ Auger Boring
Individu Ptt ❑ Well
❑ Spring
Type of Wastewater: �'fewage ❑ Cut ❑Other
❑ Industrial Process ❑ Mixed
P
R
O
F
1 .1940 SOIL MORPHOLOGY
L Landscape Horizon .1941 OTHER
E Position peps.1942 PROFILE FACTORS
N SI .1941 1941
ope% (In.) Structure/
Consistence
.1943
/d/6 Texture
Minaalo
�ysem�a�
Cofor
Soil .1956 .1944Sam Rear CP ale
L 4.,/Z 5`,
Class Horiz &LIAR
/,5�.
��
3iD
Nv
°3
Z `LPi ✓ / � S P SFS, _ —
y L , i 5L
tio+ s
Site Classification (.1948):
Evaluated By: c.,"_
Others Present: 'L FIs --
2r�'iLJ