IPAC 70HTE# ►p,-5-u.��3o Harnett County Department of Public Health 29896
Imarovement Permit
Authorized State Agent:L Date:65/C>1 1 a o 18 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 goveming 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 .1958, .1957, .1954, .1955, .1956, .1957, .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 TO: Lc mcg "alom C3\c,_-� PROPERTY LOCATION: Il(, So,>EJec-cn s21/,jC�
C�� SUBDIVISION CyR-r;C-) P1c.��caa ic>rn LOT # lit -
Facility Type: 5 3!g— 6l q X 34 s 5 � C Lew ❑ Expansion ❑ Repair
Basement? ❑ Yes I� Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" S d Cr` (Initial) Wastewater Flow: �/'�% GPD
(See note below, if applicable ❑)
QWC" to
A building permit cannot be issued with only an Improvement Permit
Installation Requirements/Conditions
Number of trenches 3
PROPERTY LOCATION: I Iia-3rM1kW_(n plod
52 I lci�)
ISSUEDTO/iLGMCo
C n
rA Cilr`S SUBDIVISION Cw.rrt^ Ptc,n-k,i on
LOT # �
NEW
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
342 `-0s)< 3y'
(Trench bottoms shall be level to +/.1/4"
Proposed Wastewater System Type: ate%
20 a `.Mort
in all directions)
Projected Daily Flow:
:9 n d
GPD
Number of bedrooms:
�3
Number of Occupants: L max
Basement ❑Yes
2- o
Pump Required: ❑Yes
❑ No
�
P May Itr red based on final location and elevations of facilities
Type of Water Supply:
❑ Community
ult is ❑ Well Distance from well feet Permit valid for.
Ki�years
Permit conditions:
❑ No expiration
Authorized State Agent:L Date:65/C>1 1 a o 18 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 goveming 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 .1958, .1957, .1954, .1955, .1956, .1957, .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 TO: Lc mcg "alom C3\c,_-� PROPERTY LOCATION: Il(, So,>EJec-cn s21/,jC�
C�� SUBDIVISION CyR-r;C-) P1c.��caa ic>rn LOT # lit -
Facility Type: 5 3!g— 6l q X 34 s 5 � C Lew ❑ Expansion ❑ Repair
Basement? ❑ Yes I� Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" S d Cr` (Initial) Wastewater Flow: �/'�% GPD
(See note below, if applicable ❑)
Conditions:
Trench Spacing: % Feet on (enter
Soil Cover: /0 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
ti A. inches below pipe
Aggregate Depth: NA inches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
�hc inches total
"If applicable: / understand the system type ipecifled is different from the type spelled on the application, / accept the speamaiions o/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
Authorized State Agent:
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
IV14� Date: v,3/ol ra0/9
Construction Authorization Expiration Date: U 3 /o► ) aG'-'Z3
QWC" to
a >( So!1 S v 5 (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size I C00
gallons
Exact length of each trench -45 feet
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: ?14 inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements:
h. TDM vs.
GPM
Conditions:
Trench Spacing: % Feet on (enter
Soil Cover: /0 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
ti A. inches below pipe
Aggregate Depth: NA inches above pipe
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
�hc inches total
"If applicable: / understand the system type ipecifled is different from the type spelled on the application, / accept the speamaiions o/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
Authorized State Agent:
with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
IV14� Date: v,3/ol ra0/9
Construction Authorization Expiration Date: U 3 /o► ) aG'-'Z3
HTE# Ig3-5-yam-76
Permit # �GC6a
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: II C, e► icpfClC<y— u�-
ISSUED TO: Lc-crnc .> Gvs1D�n �j SUBDIVISION LOT #
Authorized State Agent: _� ����� �!` Date: 03 01 / 9 CGI 0,
SovTNC-- ?--,-2> P L -APC -i—=
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: Ls,rwc.n
Address: ^ Date Evaluated: G;t 176I (£i
Proposed Facility: C.o, t{ Design Flow (.1949): 3Go 647
Location of Site: perty Recorded:
Water Supply: ublic dividual ❑Well
Evaluation Method: ,ger Bo ' ❑ Pit ❑ Cut
Type of Wastewater: El Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 6-(.6
❑ 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 M.
.1956
Sapro
Class
.1944
Restr
Horiz
L< 9 oZi
G
L 5
14r
P5
ly ,y a
g✓
PL 55;r�k_�
ya
G.
a
L L ,7/o
fi-1
(A LS
v& x1w
p j
I?'�a
grc sw
f --d--
`7.5Ylt�j 9a1
Va
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Qrovi 61c> . %.Uj 5 ui t=--bk'_
Available Space (.1945) Evaluated By:��
System Type(s) Others Present:
Site LTAR 0,14