IPACHTE# i� -5—`+► �s'8 Harnett County Department of Public Health 29496
Improvement Permit
Authorized State Agent: Date: tip G Z �3LPL/ r --n t -4- SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 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 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 .1958, .1952, .1954, ASS, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
52 t oOC
ISSUED TO: NJdM6 PROPERTY LOCATION: I (( f`6c, Oc . vlcc 5(gGt A
SUBDIVISION_nyV6rd toLOTS# rL
Facility Type: 3S Z- 5't-l�:- 4,0`X4g'j 91—N w ❑ Expansion ❑ Repair
Basement? ❑ Yes E -1 o Basement fixtures? ❑ Yes ❑ No
A building permit cannot be issued with only an Improvement Permit
/' 5
S 7 s
PROPERTY LOCATION: 111 fu.,C•A S7r
(See note below, if applicable ❑)
ISSUED TO:
T00S 1MxL<,
� (Sr . SUBDIVISION Ox Cece'
I LOT #
NEW
REPAIR ❑
ExPANSION ❑ Site Improvements required prior
to Construction Authorization Issuance:
Type of Structure: _
16 cZ- S
GOA X carte t�
Septic Tank Size f CX;0 gallons
Proposed Wastewater System Type:
6 G feet
Projected Daily flow:
3 C O
GPD
contour at a
Number of bedrooms:
—.
Number of Occupants: � max
2-1e/ inches
Basement ❑Yes
9.5
(Trench bottoms shall be level
to +/-1/4"
Pump Required: ❑Yes
❑ Na
❑ e re u sed on final location and elevations of facilities
Type of Water Supply:
❑ Community
u lic ❑ Well Distance from well feet
Permit valid for. B- Fire -lea, s
Permit conditions:
❑ No expiration
Authorized State Agent: Date: tip G Z �3LPL/ r --n t -4- SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 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 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 .1958, .1952, .1954, ASS, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
52 t oOC
ISSUED TO: NJdM6 PROPERTY LOCATION: I (( f`6c, Oc . vlcc 5(gGt A
SUBDIVISION_nyV6rd toLOTS# rL
Facility Type: 3S Z- 5't-l�:- 4,0`X4g'j 91—N w ❑ Expansion ❑ Repair
Basement? ❑ Yes E -1 o Basement fixtures? ❑ Yes ❑ No
Type of Wastewater System**
S 7 s
(Initial) Wastewater Flow: 36 IC -s GPD
(See note below, if applicable ❑)
25% (ILe�vc
�`c�N Sit.
(Repair)
Installation Requirements/Conditions
Number of trenches LF -
Septic Tank Size f CX;0 gallons
Exact length of each trench
6 G feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on
contour at a
Soil Cover. 7 z inches
Maximum Trench Depth of:
2-1e/ 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 TDH vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
inches above pipe
r inches total
**If applicable- l oodeatand the ryrtem type spec/fled is different from the type spedled ou the application / accept the specilcations 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
of the laws and Rules for Sewage Treatment and
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent.� /1� �ti�`L Date: 6" -logy/ n�vt •a
Construction Authorization Expiration Date: 0010-4-/ roz-2—,
HTE# I — 5' glgSB Permit # `L I'/
Harnett County Department of Public Health
Site Sketch
_ / Sex 1006
PROPERTY LOCATON: I I ( 1= a �G n ice, l D 16 SC �zl � ��
ISSUED T0: L��t�bns ��eq��7 i(TL. SUBDIVISION 6 r4 LJ e-; 5 LOT # Z/
c
Authorized State Agent: / ice' �. Date: d6 0 I ZUI +
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Qr:nee, Appicant: IDeAOAS LttnA�„
Address: Lc,+ ZI O,ctlurd Wry Date Eva ated:
Proposed Facility: 36(L 6 Fq,,> Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ®'l ublic❑ Individual ❑ Well
Evaluation Method:D,<uecr Bori ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0. (;3/ AC,
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
landscape
PosSlope %
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L U% -u
0-24
LS
F2 .A/V
PS
24- NZ
Fi 5 P SG
S Y2�It 4L"
y 2 f
0,y
2
l Gti
a L+l
GQ LS
48
0.�!
L6
JOY
8-2Y
911
SP5/
�.5i�f�'L�r28k
Z$t
0.4 -
Description Initial :epair System Other Factors (.1946):
S stem Site Classification (.1948):
AvailableS ace (.1945) - Evaluated By:
System Type(s) ,o /4a `v - Others Present: 4n&,a LJ(r(,i aeoes
Site LTAR