IPACHTE# Harnett County Department of Public Health 29886
Imurovement Permit
Authorized State Agent:: C�� �.!-s�,J Date: G01 a1G�8UKz SEE ATFACHED SITE SKETCH
The issuance of this permit by the Health Department m no way guarantees the issuance of other permit. 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.
A building permit cannot be issued with only an Improvement Permit
Construction Authorization
_ PROPERTY LOCATION: Cite !�iJs?9L 44tZme--
u5 cJ01 N y
ISSUED T0:
o SUBDIVISION
LOT # 1
NEW 5K REPAIR ❑
EXPANSION ❑ Site Improveme required prior to Construction Authorization Issuance:
Type of Structure: qct 2 G&
�Y1.01 5 Taj
Proposed Wastewater System Type: QKyb
11aA.x ('�, n igI i .
coldsG-
U
Projected Daily flow: / AO GPD
//� ''
SC [P bioc•� �oC� 44011 tJ.>
Number of bedrooms:Number
0
of Occupants: g max
SUBDIVISION fy cc t
Ld�Rew [I Expansion ElRepajr
Basement ❑Yes
Basement? ❑ Yes E?lo—
Basement Fixtures? ❑ Yes ❑ No
Pump Required: []Yes ❑ No
9'Ftay be ' e based on final location and elevations of facilities
0610
Type of Water Supply: ❑ Community
ublic ❑ Well Distance from well ^r A- feet Permit valid for.
f
Permit conditions:
1)9
❑ No expiration
Authorized State Agent:: C�� �.!-s�,J Date: G01 a1G�8UKz SEE ATFACHED SITE SKETCH
The issuance of this permit by the Health Department m no way guarantees the issuance of other permit. 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.
06A, 506(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I a Si, gallons Exact length of each trench i 00 feet
Pump Tank Size gallons Trenches shall be installed on contour ilt a
Maximum Trench Depth oL(C6 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: 9' Feet on Center
Soil Cover: /� hes
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: /V k inches above pipe
"N 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.
**If applicable: / onderTwol the ryrtem type rpedled it different from the type rpeciled on the application. / accept the rpecilcationr of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it 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
lonstructlon Authorization is
Authorized State Agent:
with the provisions of the laws and Rules for Sewage Treatment and
N Construction Authorization
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: U a i a 3
(tion Date: &Q) ;3J
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .19S7, .1954,
ASS, .1956, .1957, .1958. and .1959 are incorporated by rehremas
inro this permit and shall be met Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: SE>=r,i+es�soc�
coldsG-
PROPERTY LOCATION: G4as
//� ''
SC [P bioc•� �oC� 44011 tJ.>
Facility Type: 5th GC; slr�
'5
SUBDIVISION fy cc t
Ld�Rew [I Expansion ElRepajr
5e J� 17 c LOT # /�
Basement? ❑ Yes E?lo—
Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
0610
ag:Ai, � r>A S /1a�
(Initial) Wastewater Flow: 4/c?� GPD
(See note below, if applicable ❑)
1)9
06A, 506(Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size I a Si, gallons Exact length of each trench i 00 feet
Pump Tank Size gallons Trenches shall be installed on contour ilt a
Maximum Trench Depth oL(C6 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: 9' Feet on Center
Soil Cover: /� hes
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: /V k inches above pipe
"N 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.
**If applicable: / onderTwol the ryrtem type rpedled it different from the type rpeciled on the application. / accept the rpecilcationr of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation it 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
lonstructlon Authorization is
Authorized State Agent:
with the provisions of the laws and Rules for Sewage Treatment and
N Construction Authorization
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: U a i a 3
(tion Date: &Q) ;3J
HTE# IC? 5-L43 aq� Permit #
Harnett County Department of Pablic Health
Site Sketch
PROPERTY LOYATON: (O�') uop g L i U5 401 + ,�
ISSUED T0: SUBDIVISION Mr�,C ff_c% T -:C Crn LOT #
Authorized State Agent Date: oa / .3/6?0.,P,
/�Nr�7F r:uz2Tr� 5P —4
�LNb C ZO SCALrc*
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Lt��i`
Owner: Snr, L ,Apicant: 'S-Uql'eAfti d
Address: IYlbrycry %.st+ f> uo.- 19, Date Evaluated: G & I a1I 1
ProposedFactrity: ygti 5rv-, Design Flow (.1949): N00C3FD
Location of Site: Yep Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: r Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: (j, --jo A4G
❑ 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
.1943.1956
Soil
Depth M.)
Sapro
Class
.1944
Restr
Horiz
G"L LS
A °
ij
W f ;Q
7
3
L 4-67o
0-A
L2 L -S
vr¢ w9Np
a+l-Un
5K 5cL
<� SffP
QS
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Te(s) <,A Others Present: An wCr-`ni 455-/4=S
Site LTAR