IPACHTE #
Harnett County Department of Public Health 29316
Improvement Permit
A building permit cannot be issued with only an Improvement Permit /
PROPERTY LOCATION: ,r,— Bne� GhwCh K Csg- f569)
ISSUEDTO. 1 Oh50. C.csc �PF� C. -o PC's SUBDIVISION LOT #
NEW I1 REPAIR ❑ EXPANSION ❑
Type of Structure: A VSt2 MAK:�, . %AoMt--
Proposed Wastewater System Type: -"6 'n (LoA,. S-LS/rrn
Projected Daily Flow: 3 L, t� GPD
Number of bedrooms: 3 Number of Occupants: C,_max
Basement []Yes WHO
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes ❑ No[a �iay e required based on final location and elevations of Facilities
Type of Water Supply: ❑ Community fiA' Public ❑ Well Distance from well feet
Permit conditions:
Permit valid for.
ve years
❑ No expiration
Authorized State A �-.e—' /�/��`" date: GO' / 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by t I Ith 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 ifoh 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 laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
(See note below, if applicable ❑)
'Z-6,% r uC3rio n S y6 -91 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /acblJ gallons Exact length of each trench !JS feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZM- inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover. % Z inches
(Maximum soil cover shall not exceed
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
2 inches above pipe
T Z inches total
**If applicable: / understand the .)item type specified is different from the type specded on the application. / accept the spedfIcannor of this permit.
Dwner/Legal Representative Signature: Date:
This construction Authorization is subject to revoation 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 Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State rat G Date: 1,-7 0-1'1
!ruction Authorization Expiration Date: Z -Z0-77
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of
Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: G Ccs
k -E6 C_.oee-:;P
PROPERTY LOCATION: E%x�
cir.WCk [Zd- (S2 k458'�
�/ SUBDIVISION
LOT #
Facility Type: 3 4a
k4at
�l New ❑ Expansion ❑ Repair
Basement? ❑ Yes No
Basement Fixtures?
❑ Yes ❑ No
Type of Wastewater System**
25`3io rZa.A06"1
5;z61XrV7
(Initial) Wastewater Flow: 3(o In GPD
(See note below, if applicable ❑)
'Z-6,% r uC3rio n S y6 -91 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size /acblJ gallons Exact length of each trench !JS feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: ZM- inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover. % Z inches
(Maximum soil cover shall not exceed
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
2 inches above pipe
T Z inches total
**If applicable: / understand the .)item type specified is different from the type specded on the application. / accept the spedfIcannor of this permit.
Dwner/Legal Representative Signature: Date:
This construction Authorization is subject to revoation 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 Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State rat G Date: 1,-7 0-1'1
!ruction Authorization Expiration Date: Z -Z0-77
HTE#
I'A-5- A0655 Permit# ? gIIG
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: CNoene;xec 1558
ISSUED TO: t=S °i sw Codes LoaSUBDIVISION LOT #
/LGS+tB
Authorized State Ag Date: Z —ZO / 7
C/ate ' 2/f5 7
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Elo3.. c.,A3
Owner: W(t�'Applicant: z� Sq CorfG,i Lo(.Y-Z
Address: 15 iX`If2tr Llr rte+ Date Evaluated:
Proposed Facility: 382 Mw• {'k"G Design Flow (.1949): 3(f9 jr9
Location of Site: —Property Recorded: G.) y
Water Supply: '� L public❑ Individual Well
Evaluation Method: DeAugerBo ' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: Of ,. � A -C_
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
Description
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L 2l3%
6 -Ib
GR St,
fQ W 5
10-40
6'�et( S(L
�(� 5 P y
PS
KnA
V
4b
PA
0.4L
Z
L Z 3jc
0-16
6Q 5 �,
►�-
°
tot SGL
F¢
r 5 e 5 a7
Pj
curw
PoxeA6
3'8
am
o.4
3
L 1-3%
0-14
ILIAL
16K SU
'FI 5 (? s „
PS
LA 7,4
4Z
PM
o 4
L�
L z -3",o
o- I-%
IB -4b
YL 6&L
ISP
PS
yon
P
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NO
6,11-
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Description Initial Repair System Other Factors (.1946):
Systery Site Classification (.1948): QZ✓iytw..11 3'r'Lv�Cfi
Available Space 1.1945) V V Evaluated By:System Type(s) S6% l Lb° Others Present:
Site LTAR 0 1 O • �6 t4Lovr�v4-;r �-S