IPACHTE# 'I s U/iia Harnett County Department of Public Health 29209
Improvement Permit
Authorized State Agent 1 Date UPS/ A I IQL, I w+— SFE 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 in 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 .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be instilled in xcordance
with the attached system layout.
Sri tSUd
ISSUED TO: _ L� rncry torten PROPERTY LOCATION: lb 61 . (¢Id Q"e.S
SUBDIVISION Z l n_ C4 tom LOT # 5
Facility Type: V3.2 r11']cYC3' SF%�> &1 ew ❑ Expansion ❑ Repair
Basement? ❑ Yes Uc o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ii'Q con En _ i a ti F )r,- 5i (Initial) Wastewater Flow: cYE3G GPD
(See note below, if applicable ❑)
PV aT, Fc, 2S�aa L. nn S_�(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size f d 50 gallons Exact length of each trench 100 feet Trench Spacing: % Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 inches
Maximum Trench Depth of: /5 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. TON vs. GPM
Conditions:
C inches below pipe
Aggregate Depth: to inches above pipe
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.
I ;� inches total
**If applicable: / underrtand the ryttem type rpedfed it different from the type ipecifted on the application. / accept the Jpecificationr of thin permit
Owner/Legal Representative Signature: Date:
This combustion Authorization is subject to revocation it the site plan, plat or the intended use changes. The tonstmction Authoriranon 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
Futho6zed State Agent: Date: C -38/2t /alb}
Construction Authorization Expiration Date: oe/ 8l / a o a a
A building permit cannot be issued with only an Improvement Permit
5 tt 1 SLla
PROPERTY LOCATION: i (3 Kl c-LyyCv I r C COkS
Qr KS &eei.6 &X
ISSUED T0: - L,. c:A I4
SUBDIVISION T kn. Gtc e, V--
LOT #
NEW REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: `132 3'x
4651 5,=sem
Proposed Wastewater System Type: 2 Sc_
Projected Daily Flow: a bc�
GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes- o
Pump Required: es ❑ No
❑May Tequired based on final location and elevations of facilities
Type of Water Supply: ❑ Community
ic ❑ Well Distance from well feet Permit valid for:
(ars
Permit conditions:
❑ No expiration
Authorized State Agent 1 Date UPS/ A I IQL, I w+— SFE 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 in 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 .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be instilled in xcordance
with the attached system layout.
Sri tSUd
ISSUED TO: _ L� rncry torten PROPERTY LOCATION: lb 61 . (¢Id Q"e.S
SUBDIVISION Z l n_ C4 tom LOT # 5
Facility Type: V3.2 r11']cYC3' SF%�> &1 ew ❑ Expansion ❑ Repair
Basement? ❑ Yes Uc o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ii'Q con En _ i a ti F )r,- 5i (Initial) Wastewater Flow: cYE3G GPD
(See note below, if applicable ❑)
PV aT, Fc, 2S�aa L. nn S_�(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size f d 50 gallons Exact length of each trench 100 feet Trench Spacing: % Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 6 inches
Maximum Trench Depth of: /5 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. TON vs. GPM
Conditions:
C inches below pipe
Aggregate Depth: to inches above pipe
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.
I ;� inches total
**If applicable: / underrtand the ryttem type rpedfed it different from the type ipecifted on the application. / accept the Jpecificationr of thin permit
Owner/Legal Representative Signature: Date:
This combustion Authorization is subject to revocation it the site plan, plat or the intended use changes. The tonstmction Authoriranon 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
Futho6zed State Agent: Date: C -38/2t /alb}
Construction Authorization Expiration Date: oe/ 8l / a o a a
HTE# i-4-S-gIya6aydog
Permit #
Harnett County Department of Public Health
Site Sketch
�,-'/
PROPERTY LOCATON: � �J�NJ Nie o G� L018 Gv,es Cteo/- 2�
ISSUED T0: — L MCO u G �o SUBDIVISION T Tte, CceeX LOT # S
Authorized State Agent j a Date:y eS
ANoar s c 2rz,
E
ANp
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: Lyy(cc, NuAie,� 6811q,14Address: l4( L!� � J! Date Evaluated:
Proposed Facility: _ Design Flow (.1949): V1594y:>
Location of Site: Property Recorded: 910
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: �uger �BBon$ ❑ Pit ❑ Cut
Type of Wastewater: L -,Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot M
File k
Code:
Property Size: qo 1G
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
-7,5K11W6a5't
36-r
0,y
0-3v
Cg
a5
3
L U%
O-ZG
(/L sc
ikj1//�i'
VPs
2G 3a
/r�T 5tL
i i°
-7.5 W11,4V,3at'
3a?+
O, y
Lf
L
f -S
y
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945)I Z Evaluated By:
SystemT e(s) t[ Others Present: 4Oc)re_. Gjrm�ni.Lim/,�5
Site LTAR