IPACHTE# )-7—S `fb�5 Harnett County Department of Public Health 29357
Imarovement Permit
Authorized State At: r l Date: � - � L — / � SEE ATTACHED SITE SKETCH
The issuance of this permit b i e Health 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 16e 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.
Construction Authorization
(Required for Building Permit)
The constmction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordanu
with the attached system layout.
ISSUED TO: :& ea 64 -k -s -Jl74o PROPERTY LOCATION:6�I`T/�`/�S/�
SUBDIVISION Ar -r_ a�%S Vt (� � LOT # qU
Facility Type: s Z New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes EX
Type of Wastewater System** /J&kuau � a.n� (Initial) Wastewater Flow: w GPD
(See note below, if applicable ❑) e `p`� n
9,�1(Reo
Installation Requirements/Conditions Number of trenches9
Septic Tank Size /Zoo gallons Exact length of each trench U feet Trench Spacing: ( Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. —inches
Maximum Trench Depth of: /Z '/Y inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
lr inches below pipe
Z inches above pipe
�2 inches total
**If applicable: / understand the s}rtem type speci#ed is different from the type speciled coo the app/icadon. / accept the rpecifcalions o/ 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 laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IALHt1J lilt )KtICM
Authorized State 2 Date: V— 1Z —17
Construction Authorization Expiration Date: —
A building permit cannot be issued with only an Impp�rovement Permit
PROPERTY LOCATIONLSRAJ /g -5 /Z,
ISSUED TO-, 1 A4
64k5
f3I D% J
SUBDIVISION _�iF4 !«�rS f/C� e LOT #
NEW fid
REPAIR 0
EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Ty e: `�> rt.9-4,4
—
Projected Daily Flow:
Ef0
GPD
Number of bedrooms:
Number of Occupants:
mat
Basement []Yes
No
Pump Required: Dyes
❑ NoM
lfbe required based on
57
final location and elevations of facilities
Type of Water Supply:
El Community
Public ❑ Well
Distance from well feet Permit valid for. Five years
Permit conditions:
❑ No expiration
Authorized State At: r l Date: � - � L — / � SEE ATTACHED SITE SKETCH
The issuance of this permit b i e Health 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 16e 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.
Construction Authorization
(Required for Building Permit)
The constmction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1950. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordanu
with the attached system layout.
ISSUED TO: :& ea 64 -k -s -Jl74o PROPERTY LOCATION:6�I`T/�`/�S/�
SUBDIVISION Ar -r_ a�%S Vt (� � LOT # qU
Facility Type: s Z New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑Yes EX
Type of Wastewater System** /J&kuau � a.n� (Initial) Wastewater Flow: w GPD
(See note below, if applicable ❑) e `p`� n
9,�1(Reo
Installation Requirements/Conditions Number of trenches9
Septic Tank Size /Zoo gallons Exact length of each trench U feet Trench Spacing: ( Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. —inches
Maximum Trench Depth of: /Z '/Y inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
lr inches below pipe
Z inches above pipe
�2 inches total
**If applicable: / understand the s}rtem type speci#ed is different from the type speciled coo the app/icadon. / accept the rpecifcalions o/ 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 laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IALHt1J lilt )KtICM
Authorized State 2 Date: V— 1Z —17
Construction Authorization Expiration Date: —
HTE# Ll 6171
Permit # 293'S-7
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATO e.1qq���
ISSUED TO: 41R41v Alks 5 SUBDIVISION l I' LOT # Y el
Authorized State
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:?
Address: � ate Evaluated: Lf 14b -
Proposed Facility: Design Flow (.1949): S Property Size:
Location of Site: �GtI-T Property Recorded:
Water Supply:,,---,, � ublic❑ Individual [:1 Well E] Spring
Evaluation Method:D_Auger B g [-]Pit El cut
Type of Wastewater: Sewage E] Industrial Process ❑ 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
t'
b'lv
v'
'3d
r
Description Initial Repair Syst Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) V, Evaluated By:
System Type(s) Others Present:
Site LTAR