IPACHTE# I% -S— y 057 Cv Harnett County Department of Public Health 29354
Improvement Permit
Authorized State Ag t: Date: y �/z — /% SEE ATTACHED SITE SKETCH
The issuance of this permit by Ale I Ith Department in no way guarantees the issuance o other permits. The permit holder is responsible far checking with appropnate governing bodies in meeting their requirements. This
site is subject to revocation if I site plan, plat, or the intended use changes. The Improvemets Permit shall not be affected by a change in ownership of the site. This permit is subject in compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed In accordance
with the attached system layout
ISSUED TO:'Z4&/ AkS /�/Olo /12� PROPERTY LOCATION: T
// / SUBDIVISION ,�?� /..C�r ,� LOT # ��
Facility Type: EoNew ��Expansion El Repair
Basement? El Yes No Basement fixtures? E-1YesEAo
Type of Wastewater System" Zs'�rs leeic:;Q� _ (Initial) Wastewater Flow: 06 GPD
(See note below, if applicable ❑) _
s (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 17� gallons Exact length of each trench 85_ feet
Pump Tank Size 6 gallons Trenches shall be installed on contoua at a
Maximum Trench Depth of: /, inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Sr acin b IFeet on Center
Soil Cover. nches
(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.
Winches below pipe
L inches above pipe
/L inches total
"If applicable: / understand the system type speciled is different hum the type speciled on the application. / atrept the rpeulcadont of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat, or the intended we changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
commission Aullmnzation 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 Age 4 )C Date: U —/ 2--17-
1
—/7
Construction Authorization Expiration Date: [ 7_—ZZ
A building permit cannot be issued with only an Improvem t Permit
�
ISSUED
''�//
PROPERTY LOCATIOq10J."140,4/i1Y
6!LC�
/V,
TP4.4�
119-5 SUBDIVISION S C./s" Di✓doQ
LOT # 57—
NEW I;—
REPAIR ❑
EXPANSION CIA/ Site Improvements required prior to (
struction Authorization Issuance:
Type of Structure:
Proposed Wastewater
System Ty e:
Projected Daily Flow:
y
GPD
Number of bedrooms:
N7umber Occupants: max
Basement ❑Yes
EirNo
Pump Required: ❑Yes ED]No
Type of Water Supply: ❑ Community
foe required based on final location and elevations of facilities
Public ❑ Well Distance from well feet Permit valid for. Eii Five years
Permit conditions:
❑ No expiration
Authorized State Ag t: Date: y �/z — /% SEE ATTACHED SITE SKETCH
The issuance of this permit by Ale I Ith Department in no way guarantees the issuance o other permits. The permit holder is responsible far checking with appropnate governing bodies in meeting their requirements. This
site is subject to revocation if I site plan, plat, or the intended use changes. The Improvemets Permit shall not be affected by a change in ownership of the site. This permit is subject in compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed In accordance
with the attached system layout
ISSUED TO:'Z4&/ AkS /�/Olo /12� PROPERTY LOCATION: T
// / SUBDIVISION ,�?� /..C�r ,� LOT # ��
Facility Type: EoNew ��Expansion El Repair
Basement? El Yes No Basement fixtures? E-1YesEAo
Type of Wastewater System" Zs'�rs leeic:;Q� _ (Initial) Wastewater Flow: 06 GPD
(See note below, if applicable ❑) _
s (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 17� gallons Exact length of each trench 85_ feet
Pump Tank Size 6 gallons Trenches shall be installed on contoua at a
Maximum Trench Depth of: /, inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Sr acin b IFeet on Center
Soil Cover. nches
(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.
Winches below pipe
L inches above pipe
/L inches total
"If applicable: / understand the system type speciled is different hum the type speciled on the application. / atrept the rpeulcadont of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat, or the intended we changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
commission Aullmnzation 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 Age 4 )C Date: U —/ 2--17-
1
—/7
Construction Authorization Expiration Date: [ 7_—ZZ
HTE# ��'� �f 0�} �(p Permit # 6-;)- / -:�) -IS 1�
Harnett County Depailinent of Public Health
Site Sketch
efg
ISSUED T0: Z „g' k-tl /9/Q(�
PROPERTY L :
/�/T._�'1J SUUBB DIVISIONSIONLOT #
Authorized State Ag Date: 7
2��µs
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: /?.,y/t4
Address: Date Evaluated: 4-4 V -1 "7
Proposed Facility: Design Flow (.1949): LT8t7
Location of Site -Property Recorded:
Water Supply: [. Public❑ Individual ❑ Well
Evaluation Method: Auger B g ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
i
L!�s3
) o
SL
FLS
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
AvailableS ace(.1945) Evaluated By
e\
S stcnn T e(s) Others Present: v _
Site LTAR 14