IPACHTE# 1q -s--y 1 Harnett County Department of Public Health 29757
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
Authorized State Agent:'� /�/��/l Date: // I / -4I I -1 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 ownership of the site. This permit is subject to compliance with the provisions 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 of Rules .1950, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be mel Systems shall be installed in accordance
with the arrested system layout
ISSUED T0: KP PROPERTY LOCATION: C� b C,A vs 3c,
SUBDIVISION V LOT # oacj
Facility Type: 302 5j"Y41 $s 5fC?-Ifrew - ❑ Expansion ❑ Repair
Basement? ❑ Yes Cho Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
,93iFF, tZ" -4 tic n s»_(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size I a� gallons Exact length of each trench Q,�,C� feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: I-, inches
Maximum Trench Depth of: Q �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. TDM vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
^. •4 inches below pipe
---4 inches above pipe
^Aa inches total
7**lfapplicable: / ondefrtaad the system tipe specified is different hom the type specified on the app/kation. / accept the spe6kcationr 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
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
Authorized State Agent: % �r-s�i��rf5 Date: S\ ` Y-4-1 5iy5l
L_)c1-2.At,11 Construction Authorization Expiration Date: fl 1 -4-av
PROPERTY LOCATION: (d r raR McLcwsh Ln
LyS 'Sod r,-] )
ISSUED T0: �L�6n
�c, 15�[� linttys�
SUBDIVISION
LOT # -PAIL #-)
NEW I�
REPAIR ❑ EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
36'L Savxy7 5' Sin
Proposed Wastewater System Type: aSlo
Projected Daily Flow:
36, C. GPD
Number of bedrooms:
S Number of Occupants:
max
Basement []Yes
Pump Required: []Yes
�o
❑ No ay be required based
final location and elevations of facilities
Type of Water Supply:
El Community El Public f� Well
Distance from well i r-- feet ( � +'v, Permit valid for.
rve years
Permit conditions:
❑ No expiration
Authorized State Agent:'� /�/��/l Date: // I / -4I I -1 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 ownership of the site. This permit is subject to compliance with the provisions 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 of Rules .1950, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be mel Systems shall be installed in accordance
with the arrested system layout
ISSUED T0: KP PROPERTY LOCATION: C� b C,A vs 3c,
SUBDIVISION V LOT # oacj
Facility Type: 302 5j"Y41 $s 5fC?-Ifrew - ❑ Expansion ❑ Repair
Basement? ❑ Yes Cho Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
,93iFF, tZ" -4 tic n s»_(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size I a� gallons Exact length of each trench Q,�,C� feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: I-, inches
Maximum Trench Depth of: Q �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. TDM vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
^. •4 inches below pipe
---4 inches above pipe
^Aa inches total
7**lfapplicable: / ondefrtaad the system tipe specified is different hom the type specified on the app/kation. / accept the spe6kcationr 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
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
Authorized State Agent: % �r-s�i��rf5 Date: S\ ` Y-4-1 5iy5l
L_)c1-2.At,11 Construction Authorization Expiration Date: fl 1 -4-av
NTE# ►" - 5 -- y'A <c:1 S P..;# r 't # 99 45 �7_
Harnett County Department of Public Health
Site Sketch
� PROPERTY LO(ATON: Q J fop dl M c l �w h C n � vs 3ky
t )
ISSUED TO: ►�2 f1 V q ,>sGr\ 14—AA•p-Z SUBDIVISION LOT # f4rz-re11
Authorized State Agent: l' _ �� Date: n i } aO Iq
/ S%c• K.F Ura C.c�c,a
rUE t, (�, eL %
�V
I
L�'� •3v i�
4 G�
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: 3�,. MUw. o ....� Date Evaluated: i1 I o9 1 0 1 �-
Proposed Facility: S64- St=O Design Flow (.1949): 36p av
Location of Site: Property Recorded:
Water Supply: �ublic❑ Individual ell
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: O .-A 3 4G
❑ Spring ❑ Other
Evaluation Method: uger Bonn ❑ Pit ❑ Cut
Type of Wastewater:LI-Se—wage ❑ Industrial Process ❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
L 4i
o -ay
6.2 1_5
✓,2
5ZL--
1
fK SLS
�i
L L16
r, -,;o
G4 GS
✓G/ � r
PS
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): rbvi Si onwU'L,
Available Space .1945) Evaluated By: % 5:.
System Type(s) o?S o A -d. s`' Others Present: Com.., Com.., 7elZI
Site LTAR a, o.