IPACHTE# l-4--Naayy Harnett County Department of Public Health 29222
Improvement Permit
Authorized State Agent:: Date: c?4/ a0/ -i io$-Z SEE ATTACHED SITE SKETCH
The issuance of this permit 6y the Health Department in no way guanmees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is sub( 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 .19SD, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be mea Systems shall be installed in accordance
with the attached system layout
ISSUED TO: PROPERTY LOCATION: (Lu is 6 horclti n + • Cyn 1 4 6 )
SUBDIVISION LOT #
Facility Type: `13 rL 7il x 4 a' .T k' ^^ � D -Ie ❑ Expansion ❑ Repair
Basement? ❑ Yes U�o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 25% rtw bit 4;un S 6 (Initial) Wastewater Flow: Vee GPD
(See note below, if applicable ❑)
P.,.� -L--, Z556 kA.,k a Sys. (Repair)
Installation Requirements/Conditions Number of trenches .3
Septic Tank Size s a,0o gallons Exact length of each trench T on feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: h. TDH vs.
Conditions:
Maximum Trench Depth of: 2 in inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover. 8 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable: / understand the system type specified is dileremt from the type speciled on the app/icatian. / accept the specilcatiom 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 chanee in ownership of the site. This
Construction Authorization is subject to Compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
���� Date: odl' t90/8i01 q-
-j Construction Authorization Expiration Date: 0"1 f d0l00a ,
A building permit cannot be issued with only an Improvement Permit
e,, 1
PROPERTY LOCATION: Rc5 cl h r -,A (5rL
WI 15)
ISSUED TO: an's
n
0�fLc 5 SUBDIVISION
LOT #
NEW
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: V6,z
36'X
4aa TlJM- W
Proposed Wastewater System Type: 1,010 rft2uCE,Ln
Projected Daily Flow:
I/Esc
GPD
Number of bedrooms:
$/
Number of Occupants: max
Basement []Yes
F9- o
Pump Required: ❑Yes
❑ No
31ay be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
ublic ❑ Well Distance from well feet Permit valid for.
D--fi Veyears
Permit conditions:
❑ No expiration
Authorized State Agent:: Date: c?4/ a0/ -i io$-Z SEE ATTACHED SITE SKETCH
The issuance of this permit 6y the Health Department in no way guanmees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is sub( 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 .19SD, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be mea Systems shall be installed in accordance
with the attached system layout
ISSUED TO: PROPERTY LOCATION: (Lu is 6 horclti n + • Cyn 1 4 6 )
SUBDIVISION LOT #
Facility Type: `13 rL 7il x 4 a' .T k' ^^ � D -Ie ❑ Expansion ❑ Repair
Basement? ❑ Yes U�o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 25% rtw bit 4;un S 6 (Initial) Wastewater Flow: Vee GPD
(See note below, if applicable ❑)
P.,.� -L--, Z556 kA.,k a Sys. (Repair)
Installation Requirements/Conditions Number of trenches .3
Septic Tank Size s a,0o gallons Exact length of each trench T on feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Pump Requirements: h. TDH vs.
Conditions:
Maximum Trench Depth of: 2 in inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover. 8 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
"If applicable: / understand the system type specified is dileremt from the type speciled on the app/icatian. / accept the specilcatiom 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 chanee in ownership of the site. This
Construction Authorization is subject to Compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
���� Date: odl' t90/8i01 q-
-j Construction Authorization Expiration Date: 0"1 f d0l00a ,
HTE# S-yaayq Permit# ?-,Iaba
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: 2,0..E I n "v rc" 2 a. Ce r� r o IS)
ISSUED TO: C'6( Ssx (LeQCAS SUBDIVISION LOT #
Authorized State Agent: � �''�. Date: 2511A2J,2 o r-4
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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: "(,% ,( $A,'AJv (4"/3
Address: (4%A 4 Chv-•I,, tzi'- Date Evaluated: O9/(9f/11
Proposed Facility: y,52-r,Jh+14 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: lic❑ Individual ❑ Well
Evaluation Method: ger qpn ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: :T:3,6-1 Ac -
0 Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
L_ Z.�
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&'Z 6.s
vr+t q/X
Ps
Z440
Bu sa.
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Ps
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.
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): U n5� i"^ bLLI FrW 5 i ciL ., 1t7 s,
Available Space (.1945) Evaluated By:
System Type(s) ZS ft,.L�' Others Present: 4A,1l a'''te C � r f ; n
Site LTAR q p.