IPACHTE# la- 5-ya5� Harnett County Department of Public Health 29797
Imorovement Permit
Authorized State Agent: ����rr2��1 Date: Gl 19E��QCJ g. 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 to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1953, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: PROPERTY LOCATION: to -3 -2):W t8 2;8Cct-11�n5 :U. Srt s4e3J
SUBDIVISIONT� (te s es,, LOT # t -4-
Facility
Facility Type: 432 `ca ',e co e svl�> 0'�ew ❑ Expansion ❑ Repair
Basement? ❑ Yes 2'N- Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a s r� 2a r1.�c cZn ti s- s (Q (Initial) Wastewater flow: 4'eo GPD
(See note below, if applicable ❑) rkmeC3� 90
�c�uc,C�Cor\ S>s. (Repair)
Installation Requirements/Conditions Number of trenches c eC 3 bte sP«ce
Septic Tank Size to 6 gallons Exact length of each trench --Fc- 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: 9)4/ 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: (t. TDH vs. GPM
Conditions:
ie" A, inches below pipe
Depth: ^'ti inches above pipe
+N A- inches total
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.
tf applicable: / undeatanJ the syftem type speuhed /s d/Nereot hom the type rpecilied on the app/kation. / accept the specihcatioas o/ this permit.
Owner/Legal Representative Signature: Date:
This Construttian Authorization is subject to revocation if the site plan, plat or the intended use changes. The construction Authorization shall not he transferred when there is a change in ownership of the site. This
construction Authorization is subject no 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: Date: vi I as I ;;?C -,t F—
!moi �S�l�Ew` c ._Ni_4L t ? Construction Authorization Expiration Date: vl 1 X75% �ck�3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: iy3 +rc�hy n- !tLC
t`CLO lt"As ftd S t Kfl3,
ISSUED TO: _k2c�{fsMGrlG
Llottca s Tnc, SUBDIVISION TL
LOT # d 7 -
NEW l9�-
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _
yY2 GO' x r, 6 1 5vz:sZ>
Proposed Wastewater System Type: 3656,
a S E oei S,
Projected Daily Flow:
C.
GPD
Number of bedrooms:
SL
Number of Occupants: max
Basement ❑Yes
111-110
Pump Required: ❑Yes
❑ No
f�re �-ired based on final location and elevations of facilities
Type of Water Supply:
❑ Community
E?Iublic ❑ Well Distance from well feet
Permit valid for. LT1 e years
Permit conditions:
❑ No expiration
Authorized State Agent: ����rr2��1 Date: Gl 19E��QCJ g. 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 to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1953, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: PROPERTY LOCATION: to -3 -2):W t8 2;8Cct-11�n5 :U. Srt s4e3J
SUBDIVISIONT� (te s es,, LOT # t -4-
Facility
Facility Type: 432 `ca ',e co e svl�> 0'�ew ❑ Expansion ❑ Repair
Basement? ❑ Yes 2'N- Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** a s r� 2a r1.�c cZn ti s- s (Q (Initial) Wastewater flow: 4'eo GPD
(See note below, if applicable ❑) rkmeC3� 90
�c�uc,C�Cor\ S>s. (Repair)
Installation Requirements/Conditions Number of trenches c eC 3 bte sP«ce
Septic Tank Size to 6 gallons Exact length of each trench --Fc- 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: 9)4/ 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: (t. TDH vs. GPM
Conditions:
ie" A, inches below pipe
Depth: ^'ti inches above pipe
+N A- inches total
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.
tf applicable: / undeatanJ the syftem type speuhed /s d/Nereot hom the type rpecilied on the app/kation. / accept the specihcatioas o/ this permit.
Owner/Legal Representative Signature: Date:
This Construttian Authorization is subject to revocation if the site plan, plat or the intended use changes. The construction Authorization shall not he transferred when there is a change in ownership of the site. This
construction Authorization is subject no 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: Date: vi I as I ;;?C -,t F—
!moi �S�l�Ew` c ._Ni_4L t ? Construction Authorization Expiration Date: vl 1 X75% �ck�3
HTE# I -s - L+a95G Permit # i `l3 %q
Harnett County Department of Public Health
Site Sketch
PROPERTY LO[ATON: Io3 irop�hYo 2 (i��2c N ,gs e.. 5,t iyw
ISSUED TO: U�).k CcrMc-CK i mffi 4AC. SUBDIVISION 'Ike LOT # ri
Authorized State Agent: Date: eel /a-L5/R0/8
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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: 44c'4le-S, a^-
Address:'M1a- &0&tL..} 11 Date Evaluated: 04,99/19
Proposed Facility: 5 F9 Design Flow(. 1949): i%� t<i�
Location of Site: Property Recorded: YCI�
Water Supply:ubfc❑ Individual El Well
Evaluation Meth Auger ng El Pit E] cut
Type of Wastewater: Lj Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0.G* /iC
❑ 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
Mineralogy
,1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
I
L ago
ay
�6 LS
sss°y
aqua
L� 5«
�ti SsrPt�
Ps
L fi