IPACHTE# 11- ti a158'i Harnett County Department of Public Health 29752
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit
Basement ❑Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
13-1
❑ No I9-ffa�ybe required based on final location and elevations of facilities
❑ Community ublic ❑ Well Distance from well I C7o feet L M 19,
Permit valid for.
❑ No expiration
Authorized State Agent:: f�G- ��/%�>/d Date: / y / 3// AGI T SEE ATTACHED SITE SKETCH
Be 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 requirement. 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 requirement of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1951 and .1959 are incorporated by references into this permit and Shan be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: �c I na c lc. -5 �n�1.,kN PROPERTY LOCATION: Gc.S- V�-)kI CA _ (S(Ltcta�
SUBDIVISION LOT # 2
Facility Type: 36 2 GO %K 16' 5 fls� Ea-lew, ❑ Expansion ❑ Repair
Basement? ❑ Yes El--ffo� Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ILe e: r ,-` s 6 L— (Initial) Wastewater Flow: 3 E 6 GPD
(See note below, if applicable ❑)
206 4 X,4 -L-;2 5,s Le (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size x ooO gallons Exact length of each trench 9 G feet Trench Spacing: �� Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1 nT inches
Maximum Trench Depth of a q- 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
Conditions:
-e_ <
inches below pipe
Aggregate Depth: sA inches above pipe
t tvA inches total
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.
**If applicable: / understand the system type specified is diherent hom the type specified on the app/icatiom / accept the ;,pecillcations 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
tonstruamn Authamation is subject to compliance with the provisions of the Laws and Rulesfor Sewage Treatment and Disposal and to the conditions of this permit ltt AI IACHtU lilt 5KtlLH
Authorized State Agent: Date: t 0
T�—
zS aca2c�,� 1 G J 2(L Construction Authorization Expiration Date: to l 741 1 dors a
o q
PROPERTY LOCATION: Oc4 Ve111f i�cm (Z'A- i
ISSUED TO: �U(14
�Jr 1-lnoelcc
-r jnAcak
SUBDIVISION LOT # _
NEW '
PAIR ❑
EXPANS1 f ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
36rL
6,o' x -4o' S »
Proposed Wastewater System Type:
si5 % itr-zo .X.6�cn Sof
Projected Daily Flow:
aro 6 GPD
Number of bedrooms:
3
Number of Occupants: C
max
Basement ❑Yes
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
13-1
❑ No I9-ffa�ybe required based on final location and elevations of facilities
❑ Community ublic ❑ Well Distance from well I C7o feet L M 19,
Permit valid for.
❑ No expiration
Authorized State Agent:: f�G- ��/%�>/d Date: / y / 3// AGI T SEE ATTACHED SITE SKETCH
Be 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 requirement. 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 requirement of Rules .1950, .1951, .1954, .1955, .1956, .1951, .1951 and .1959 are incorporated by references into this permit and Shan be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: �c I na c lc. -5 �n�1.,kN PROPERTY LOCATION: Gc.S- V�-)kI CA _ (S(Ltcta�
SUBDIVISION LOT # 2
Facility Type: 36 2 GO %K 16' 5 fls� Ea-lew, ❑ Expansion ❑ Repair
Basement? ❑ Yes El--ffo� Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ILe e: r ,-` s 6 L— (Initial) Wastewater Flow: 3 E 6 GPD
(See note below, if applicable ❑)
206 4 X,4 -L-;2 5,s Le (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size x ooO gallons Exact length of each trench 9 G feet Trench Spacing: �� Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1 nT inches
Maximum Trench Depth of a q- 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
Conditions:
-e_ <
inches below pipe
Aggregate Depth: sA inches above pipe
t tvA inches total
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.
**If applicable: / understand the system type specified is diherent hom the type specified on the app/icatiom / accept the ;,pecillcations 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
tonstruamn Authamation is subject to compliance with the provisions of the Laws and Rulesfor Sewage Treatment and Disposal and to the conditions of this permit ltt AI IACHtU lilt 5KtlLH
Authorized State Agent: Date: t 0
T�—
zS aca2c�,� 1 G J 2(L Construction Authorization Expiration Date: to l 741 1 dors a
NTE# -S-g as0c( Permit # i,q-76a,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: Ock(4 ValC 5& 11\c-
ISSUED T0: -off t Z AL6veA, -r i C%c.4� SUBDIVISION LOT # ;R
Authorized State Agent: l ��� ��fS Date: 1-1,51 / a I'4 -
t S q £LFII
i I i
2'1
ahFVT�.cc ay,
lc
25io n-Ea�c-cwN
dY Sc�ic« %c (K A S�stc�
'L ,"tN \ [ 1004(.
Exp. we\\
RS ugQx� .Ip IG �G �rtyyr�t•i�
TU cAUF_ . '— rza,
Csrt- t_jcyp1
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: 76,' Q A""eji.—t-j,do,.l(
,,
Address:Qj4 Iqo A: . 2J. Date Evaluated: IGI3�ic�ot�-
Proposed Facility. 3 4,L 5 j:::t> Design Flow (.1949):,�(�p GpiD
Location of Site: Property Recorded:
Water Supply: 0-P'u61ic❑ Individual ❑ Well
Evaluation Method: Auger _Borin�g El pit ❑ Cut
Type of Wastewater: Lksewage ❑ Industrial Process
Sheer.
Property ID:
Lot #:
File #:
Code:
Property Size: I.p
❑ Spring ❑ Other
❑ 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
Structure/
Texture
.1941
Consistence
Minemlogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.
Sapro
Class
.1944
Restr
Horiz
I l d
L 2%
o-(,
GC SL
✓t -,f- SSSS
F5
(.-y4
81- x,
/
G.35
L a%
0-20
(4 5L
P5
a�U'7(z
PJB SLL
`-YL f P
li �
D' 3b
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Q�,zv, 5uM.11j Ste,ilL
Available Space (. 1945) Evaluated By:
System T e(s) 7.4m.,L Z5 Others Present
Site LTAR 0.35 G. 1