IPACHTE# I(o- 5- 40 Harnett County Department of Public Health 29301
Improvement Permit
Authorized State Agent— s ilea«3 Date: % ZD - l 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by th realth 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and meallabon requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this pesmil and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: M Pe a e PROPERTY LOCATION: Nc- SS 1wa -
SUBDIVISION LOT # 5i
Facility Type: LI6C lf o(7o.ck.m Er"'New ❑ Expansion ❑ Repair
Basement? ❑ Yes fo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System'* ZS.°s P,).etj, Sy$k� (Initial) Wastewater Flow: `/80 GPD
(See note below, if applicable ❑)
2$% iuc4 ion PJm p S—,rk,.q (Repair)
Installation Requirements/Conditions Number of tr cera hes
Septic Tank Size t zoo gallons Exact length of each trench feet
Pump Tank Size t uy gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZL inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing:._! Feet on Center
Soil Cover: (., 4 inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
G inches below pipe
Aggregate Depth: -1 inches above pipe
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.
12 inches total
""If applicable: / understand the system type spec/led it different from the type .specified im the app/ical / accept the rpeci6catioar of this 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
Construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �-, / y'•An/rtu+� t � Date: /—z :-b— /?
-� ��• C ruction Authorization Expiration Date: / — 2,0 —'ZZ.
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:
ISSUED TO:,
Se 7
SUBDIVISION
LOT # -V-
NEW
REPAIR ❑ EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
4 Q rt- I-
li
Proposed Wastewater System Type: ZS�,a Qedr %-i y,
Projected Daily Flow:
36 GPD
Number of bedrooms:
( Number of Occupants:
7 max
Basement Dyes
lir7'No
Pump Required: es
❑ No ❑ May be required base
on final location and elevations of facilities
Type of Water Supply:
El Community El Public Well
Distance from well X00 feet Permit valid for:
EkFive years
Permit conditions:
❑ No expiration
Authorized State Agent— s ilea«3 Date: % ZD - l 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by th realth 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 taws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and meallabon requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this pesmil and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: M Pe a e PROPERTY LOCATION: Nc- SS 1wa -
SUBDIVISION LOT # 5i
Facility Type: LI6C lf o(7o.ck.m Er"'New ❑ Expansion ❑ Repair
Basement? ❑ Yes fo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System'* ZS.°s P,).etj, Sy$k� (Initial) Wastewater Flow: `/80 GPD
(See note below, if applicable ❑)
2$% iuc4 ion PJm p S—,rk,.q (Repair)
Installation Requirements/Conditions Number of tr cera hes
Septic Tank Size t zoo gallons Exact length of each trench feet
Pump Tank Size t uy gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZL inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing:._! Feet on Center
Soil Cover: (., 4 inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
G inches below pipe
Aggregate Depth: -1 inches above pipe
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.
12 inches total
""If applicable: / understand the system type spec/led it different from the type .specified im the app/ical / accept the rpeci6catioar of this 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
Construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: �-, / y'•An/rtu+� t � Date: /—z :-b— /?
-� ��• C ruction Authorization Expiration Date: / — 2,0 —'ZZ.
HTE# I5/C"y3=�' Permit # 2 930 /
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: NC, Sri 1J -
ISSUED TO: SUBDIVISION LOT # I_
Authorized State
t\O,.T �c�l Qcp ra2c ��
Lf , I Q Rt1.
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Date:
.A tJe1\ 100fJc MIN Cr,o
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o6F �t>� QRos�SEJ�
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1
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOMITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Riej�-Applicant: 4,r"C, Pest -z_ -
Address: L,, r+ 5 5 Date Evaluated: C t 1.3 1 1 �-
Proposed Facility: v 3 tL 5"0 9 Design Flow (.1949):
Location of Site: r�C 55 a Property Recorded: Ve s
Water Supply: ❑ Public[] Individual [Fell
Evaluation Method:QXugerBoring� El Pit ❑ cut
Type of Wastewater. ❑ age ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: y . 1 y AC
❑ Spring ❑ Other
❑ Mixed
P
R
O
P
1
L
E
#
.1490
Landscape
Position/
Slope%
Horiwo
Depth
(In.)
SOIL MORPHOLOGY
.1941
0711M
PROFHE FACTORS
Profile
Class
& LTAR
.1941
Strucaarl
Texture
.1941
C�isteace
mincralogy
.1942
soil
Wetness/
Color
.1943
soil
.1956
Sapm
Class
.1944
Rear
Hafiz
1
t_ glib
o- 34
62 f L
r(4 55
PS
3U-gf
aK SC L
Z
L Lilo
0 Z
53Y y
9K
Q s;c�iy� 3Z
Ll 14
3
L y
u ZU
tett 5L
t4 3G
l!K 5u
0 5 °
�ct ZG `�
3� +
y
u�b#6V
R
Description Initial Repair System Other Factors (.1946):
Sy
em Site Classification (.1948): QPa v; 5 ; un.ai// 5,; 1, bfe
Available Space (.1945 Evaluated By: A n Ore „� C ,, r r.i
NVA5S mI s v:., a.y ZSi,� 2.,A- Others Present: 2r`- ��
Site LTAR . y- -.err