IPACHTE# 1-7 - 5-') `f -i Harnett County Department of Public Health 29743
Imarovement Permit
Authorized State Agent:Qf -> * Date: \ s I " 111 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees of other permits. The permit holdi is risponsiblr 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 Imp�nt Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the pronsiom of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements Df Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into thin permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: UvG -Gift 0s 1" sfkcK CAni-%I PROPERTY LOCATION: L--PwQt-MCZ Q,.e, CSGe.NvG %'A#y:1
SUBDIVISION =0q—SQ.A LOT # 5
Facility Type: `�F1i New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** aSk/n 'kGouGKad N s75TEM (Initial) Wastewater Flow: 3f60 GPD
(See note below, if applicable ❑)
0/
a5 (o YS . (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size a o O o gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench IS -0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1$ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: °I Feet an Center
Soil Cover. L 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
inches above pipe
inches total
**Ifapplicable, / understand the s}rtem type speciped is different from the type spec&ed on the application. / accept the sped(cationr of this permit
Owner/Legal Representative Signature: Date
This Construction Audwr on 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 i subjea to a h the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the Conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1' 6
is Cuction Authorization Expiration Date: � 1 -a,
A building permit cannot be issued with only an Improvement Permit
Lo.W �o �S
PROPERTY LOCATION: e�Nt„ � c6N,c.
k
ISSUED T0: �+c>�C31'�Onx
I�p(LY CAS,j� SUBDIVISION 6A00 y-Sci L
LOT #
NEW
t
REPAIR ❑
EKPAt:,SION [I Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
r
5IPOCl)4 3�
Proposed Wastewater System Type: 2.S°/°6.flv� o^ ,v�cn
Projected Daily Flow:
3 66
GPD
Number of bedrooms:
3
Number of Occupants: 6 max
Basement ❑Yes
'?�Ilo
Pump Required: ❑Yes
',No
❑ May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
'X Public ❑ Well Distance from well feet Permit valid for.
Five years
Permit conditions:
❑ No expiration
Authorized State Agent:Qf -> * Date: \ s I " 111 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees of other permits. The permit holdi is risponsiblr 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 Imp�nt Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the pronsiom of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements Df Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into thin permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: UvG -Gift 0s 1" sfkcK CAni-%I PROPERTY LOCATION: L--PwQt-MCZ Q,.e, CSGe.NvG %'A#y:1
SUBDIVISION =0q—SQ.A LOT # 5
Facility Type: `�F1i New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** aSk/n 'kGouGKad N s75TEM (Initial) Wastewater Flow: 3f60 GPD
(See note below, if applicable ❑)
0/
a5 (o YS . (Repair)
Installation Requirements/Conditions Number of trenches f
Septic Tank Size a o O o gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench IS -0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1$ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: °I Feet an Center
Soil Cover. L 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
inches above pipe
inches total
**Ifapplicable, / understand the s}rtem type speciped is different from the type spec&ed on the application. / accept the sped(cationr of this permit
Owner/Legal Representative Signature: Date
This Construction Audwr on 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 i subjea to a h the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the Conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1' 6
is Cuction Authorization Expiration Date: � 1 -a,
HTE# 5 - Permit # aa -743
Harnett County Department of Public Health
Site Sketch \ 1
PROPERTY LOCATON: E—Aw2LNcE �.o CS✓Ev G �Ay )
ISSUED T0: crn)A) SUBDIVISION a -o09 -5Q'� LOT # 5
Authorized State A e` _�T�SlbuvC.J i0LYSDo�� Date: 11 b 1
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:
Address: _ Date Evaluated: \
Proposed Facility: Design Flow (.1949):.3 (� ,(r d
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: �]\Augr Boring ❑ Pit ❑ Cut
Type of Wastewater: SSewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (RJ.)
.1956
Sapro
Class
.1944
Restr
Horiz
Q'l4b
C 5
to"►a
12�, si.
wRl �-Ohy
6
a yj
G 5
tiV-q N451NS
N4 --%a
r� 5 L
15b M1*9
s
b
�1
6 s
n �51wt
s
Description ti
air System Other Factors (.1946):
Site Classification (.1948): i
Available Space (.1945) Evaluated By: p �
System T s) Others Present: D $
Site LTAR