IPACBasement []Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ Community
❑ Maytb -required based on final location and elevations of facilities
C'T Public Cl Well Distance from well feet
Permit valid for.
2- rive —years
❑ No expiration
Authorized State Agent: Date: C,:i-I z-7/ 17: 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 ownenhip of the site. This permit is subject to compliance wish 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, .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: 5-4epka6yn 6Lcs 'T-fSG_ PROPERTY LOCATION: ty+yNori o,n Faaam Dc. �' )5 4,2y
SUBDIVISION lC>�,tp uFctirM LOT # S
Facility Type: �i32 (oGiY 5� 111- w ❑ Expansion ❑ Repalr
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 7— Sim 2�A (Initial) Wastewater Flow: VOC3 GPD
(See note below, if applicable ❑)
Zs - (" �L6--o n S s Cc.w- (Repair)
Installation Requirements/conditions Number of trenches 3
Septic Tank Size I evv gallons Exact length of each trench t oc5 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: Zo inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: Ei 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
Z inches above pipe
l ?_ inches total
**If applicable: / understand the system type specified it different from the type spec/!ed on the application. / accept the speci#cationf 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
Contraction Authorization is
with the provisions of the laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 0 4 If �t �
Construction Authorization Expiration Date: Cl -4 1 a �zZ-
29589
HTE# (�-s N I �) o
Harnett County
Department of Public Health
Improvement
Permit
A building permit cannot
be issued with only an Improvement Permit
PROPERTY LOCATION: lo'4 A, Tis va Oc•
�U5 t -/OI N. 7
ISSUED TO: 5-6epke.050/S
Bids =rca
SUBDIVISION :-oa m
LOT #
NEW I" REPAIR ❑
EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: /i32 (6G1Y58e
) 5 s=1'>
Proposed Wastewater System Type: ZS `/o
Projected Daily Flow: 4�'QjCG
GPD
Number of bedrooms: 4!,—
Number of Occupants:
max
Basement []Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ Community
❑ Maytb -required based on final location and elevations of facilities
C'T Public Cl Well Distance from well feet
Permit valid for.
2- rive —years
❑ No expiration
Authorized State Agent: Date: C,:i-I z-7/ 17: 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 ownenhip of the site. This permit is subject to compliance wish 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, .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: 5-4epka6yn 6Lcs 'T-fSG_ PROPERTY LOCATION: ty+yNori o,n Faaam Dc. �' )5 4,2y
SUBDIVISION lC>�,tp uFctirM LOT # S
Facility Type: �i32 (oGiY 5� 111- w ❑ Expansion ❑ Repalr
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 7— Sim 2�A (Initial) Wastewater Flow: VOC3 GPD
(See note below, if applicable ❑)
Zs - (" �L6--o n S s Cc.w- (Repair)
Installation Requirements/conditions Number of trenches 3
Septic Tank Size I evv gallons Exact length of each trench t oc5 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: Zo inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: Ei 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
Z inches above pipe
l ?_ inches total
**If applicable: / understand the system type specified it different from the type spec/!ed on the application. / accept the speci#cationf 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
Contraction Authorization is
with the provisions of the laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 0 4 If �t �
Construction Authorization Expiration Date: Cl -4 1 a �zZ-
HTE# 'S—'7I!�ID Permit# Z`j5$%
Harnett County Department of Pablic Health
Site Sketch
�"� PROPERTY LOCATON: 10 1ylv�crn i'rurrn Q{�o 4k5l
�\rV(11
ISSUED T0: S��/1 S3IdS Tir, SUBDIVISIONLOT
Y�CacUcM
Authorized State Agent: �����r Date: U��L� �O
Z5/o n'CLTIo�
n-lz PA1z txrLrr--A
36.6,
P2oe6s�
2S1
M U (T-,(. N cJ i A cL(-N, r_�3 -7— 1 v%
,vTun4 Mwj by (eloccisd
aE cyps,Le eno OF
SPs,
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
54,4w4 Uv+%
Owner:T4,. (�F Applicant: i((Pkaion 05
Address: (,O( b Paoc cN r, n Date Evaluated: 01 1z5(1!;
Proposed Facility: y32 3 t) Design Flow (.1949): 1% 6�
Location of Site: Property Recorded:
Water Supply:ublic❑ Individual ❑ Well
Evaluation Method: Auger Bonn ❑ Pit ❑ Cut
Type of Wastewater:ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0. i(c AG
❑ Spring ❑ Other-
El
ther
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Stmcture/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
1
L 5iv
0-20
(K �'
VF2 06w
It
P6
s� *
fL". L r
6 to
—
—
36
c7.54 -
Ur£
7.5YR'It 0-111
3(74
U N
3
L 5%
6-3N
C<Solis
VR A6W 5
g,
36 -Kg
!y✓1 SGL
� SP � ,
4 �
U. L�•
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): cvoJ,5icwu"Ll ''<'i
Available Space (.1945) Evaluated By:
System Type(s) /LL d Others Present:
Site LTAR 64 t/