IPACHTE# II-6-4ag4y Harnett County Department of Public Health 29863
hDrovement Permit
Authorized State Agent•.;--'; ., i _/ Date: O//' 676 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 plam 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, .1951, .1954, .1955, .1956, .1951, .1956. 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: "mt.p G r, -Earn +31ds CLt_ PROPERTY LOCATION: ` 113 Px�cvv[at'n-, Com- i Docs n.,- 52 I)
SUBDIVISION Gok>r"C k 1-4,1\5 LOT # S1 -r
Facility Type: 281- (�5tX4-vt 5F'z--> � ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures.? ❑ Yes ❑ No
Type of Wastewater System** vi 6`i6 � r\ 5 s fir` (Initial) Wastewater Flow: (3 GPD
(See note below, if applicable ❑)
a5% %/teivCi6/� 5,s(Repair)
Installation Requirements/Conditions Number of trenches i 4
Septic Tank Size I ca,<-) gallons Exact length of each trench 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: aO inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Trench Spacing: % Feet on Center
Soil Cover, R inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: �- C . d ,. d-ko .
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.
/ inches below pipe
inches above pipe
inches total
**If applicable: / andeatand the tyrtem type dpecifed it different /rom the type tpeciGed on the app/icatian. / accept the rperifeatianr a/thin pemat
Owner/legal Representative Signature: Date:
This Construction Authorization is subject in revocation if the site plan, plat or the intended use changes. The construction Autlmm ution 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 taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: �t � -2 d, / act fs
Construction Authorization Expiration Date: 't I aL / otba 3
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: d(-->m�
t - 21]/e �
O:
ISSUED T�.
,
(
;>c�SUBDIVISION l olnn s c l I-V i le
LOT # -5
NEW [E�-
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
3(,52
GS i 9 46`
Proposed Wastewater System Type:S
% 2� ✓,l r pis ,
Projected Daily Flow:
-;� S.
GPD
Number of bedrooms:
— 3
Number of Occupants: max
Basement ❑Yes
ET10
Pump Required: []Yes
❑ NoaC
F1 y be based on final location and elevations of facilities
Type of Water Supply:
❑ Community Public ❑ Well Distance from well feet Permit valid for.
19-fivP y rs
Permit conditions:
❑ No expiration
Authorized State Agent•.;--'; ., i _/ Date: O//' 676 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 plam 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, .1951, .1954, .1955, .1956, .1951, .1956. 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: "mt.p G r, -Earn +31ds CLt_ PROPERTY LOCATION: ` 113 Px�cvv[at'n-, Com- i Docs n.,- 52 I)
SUBDIVISION Gok>r"C k 1-4,1\5 LOT # S1 -r
Facility Type: 281- (�5tX4-vt 5F'z--> � ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures.? ❑ Yes ❑ No
Type of Wastewater System** vi 6`i6 � r\ 5 s fir` (Initial) Wastewater Flow: (3 GPD
(See note below, if applicable ❑)
a5% %/teivCi6/� 5,s(Repair)
Installation Requirements/Conditions Number of trenches i 4
Septic Tank Size I ca,<-) gallons Exact length of each trench 0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: aO inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Trench Spacing: % Feet on Center
Soil Cover, R inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: �- C . d ,. d-ko .
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.
/ inches below pipe
inches above pipe
inches total
**If applicable: / andeatand the tyrtem type dpecifed it different /rom the type tpeciGed on the app/icatian. / accept the rperifeatianr a/thin pemat
Owner/legal Representative Signature: Date:
This Construction Authorization is subject in revocation if the site plan, plat or the intended use changes. The construction Autlmm ution 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 taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: �t � -2 d, / act fs
Construction Authorization Expiration Date: 't I aL / otba 3
NTE# ► - S- Ua yy� Permit # _2 el r>'(„ j
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATOR: 96GelmWk rzA S2I���
ISSUED TO: _4CnM66 Ctrs O'f' (3� , 'LCL SUBDIVISION CQ I e, I H; (I LOT # Sri
Authorized State Agent - l a a o t i✓
B �����cC�1� Date:
3 qv5 and 6a ,,� ; C ,�J, ,-
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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: ee ifuS 4�•^
Address: Zvi' 55 Cpb,ti, I Nate Evaluated: of 16R
Proposed Facility: 3g2 5� esign Flow (.1949): )eO (�
Location of Site: Property Recorded: /1 j
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:❑ Au orin - ❑ Pit ❑ Cut
Type of Wastewater: 5 -wage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: G • Ir Ael
❑ 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,a
o Ip
�_s
+°s
3
1_ 3%
o -I b
doe fL
✓Fd.
,76 4-
Q,re.�r
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.
ace(. 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR . S