IPACHTE# 1S'6-N3bI-,3 Harnett County Department of Public Health 29946
Improvement Permit
Authorized State Agent: i Date:ye//a7GI -ty8 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in 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.
Construction Authorization
(Required for Building_ Permit)
The constmction and installation requirements of Rules .1958, .1952, .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 \
c�-
C52 14)
ISSUED TO: 'Crtanc�lp_ 11c;tae Pm ->5,_t LLL PROPERTY LOCATION: X52 CauoSb�c� PcutGtf . cuLxabvry (40
SUBDIVISION C c ll2sbur y Pc� LOT #
Facility Type: 362 x Ei-lre�w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** PyPno 4-r� 1J5P' f%x�sck:xY,n S, 5 _ (Initial) Wastewater Flow: 3 GC5 GPD
(See note below, if applicable ❑❑�
('ynnp JC, a5%, U1. SYr_(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t Csc-r> gallons Exact length of each trench a5:: feet
Pump Tank Size 1 ooC> gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 143 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
/.vA inches below pipe
Depth: NA- inches above pipe
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.
n4- inches total
**If applicable: / ondentand the rystem type speciled is different /rota the type specified on the application. / accept the specipcankozi of this permlz
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revootion if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there u 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: Date: G
°-" V4,S'-- c.,l �a cz t J Construction Authorization Expiration Date: oil l :a`la:413
A building permit cannot be issued with only an Improvement Permit
/ S � 14c;'7 -
PROPERTY LOCATION: SSa Ctin�rn R Pew Lo -
PROPERTY
`ccf6" C ,
_
ISSUED T0:
12 li
�C
Qfi�S- L� SUBDIVISION C n�ewg,�=.-�
LOT #
NEW
R PAIR ❑
EXPANSION ❑ Site Improvements regmred prior to Construction Authorization Issuance:
Type of Structure: 36
2 38.�a t
x y 31 S r—,�
Proposed Wastewater System Type: of,5%
(Lek.,ex.;on Sa _
Projected Daily Flow:
3 r c,
GPD V
Number of bedrooms:
-3 Number of Occupants: max
Basement ❑Yes
Pump Required: Dyes
Type of Water Supply:
❑ No�ay
El Community
It based on final location and elevations of facilities
Publild' c [El Well Distance from well feet Permit valid for:i{e
years
Permit conditions:
❑ No expiration
Authorized State Agent: i Date:ye//a7GI -ty8 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in 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.
Construction Authorization
(Required for Building_ Permit)
The constmction and installation requirements of Rules .1958, .1952, .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 \
c�-
C52 14)
ISSUED TO: 'Crtanc�lp_ 11c;tae Pm ->5,_t LLL PROPERTY LOCATION: X52 CauoSb�c� PcutGtf . cuLxabvry (40
SUBDIVISION C c ll2sbur y Pc� LOT #
Facility Type: 362 x Ei-lre�w ❑ Expansion ❑ Repair
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** PyPno 4-r� 1J5P' f%x�sck:xY,n S, 5 _ (Initial) Wastewater Flow: 3 GC5 GPD
(See note below, if applicable ❑❑�
('ynnp JC, a5%, U1. SYr_(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size t Csc-r> gallons Exact length of each trench a5:: feet
Pump Tank Size 1 ooC> gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 143 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
/.vA inches below pipe
Depth: NA- inches above pipe
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.
n4- inches total
**If applicable: / ondentand the rystem type speciled is different /rota the type specified on the application. / accept the specipcankozi of this permlz
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revootion if the site plan, plat or the intended use changes. The construction Authorization shall not be transferred when there u 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: Date: G
°-" V4,S'-- c.,l �a cz t J Construction Authorization Expiration Date: oil l :a`la:413
HTE# Pj - q W11 Permit # i5V-6
Harnett County Department of Mtblic Health
Site Sketch
52- 140
PROPERTY LO(ATON: � 4,ue5kv, QLkprc 4,. �Cc�i[esb�zy Cz�
ISSUED T0: Tr I C'tcs , (`(_ SUBDIVIS POrIL LOT # L
Authorized State Agent: Date: �acIROA
Ge�Q��`.J GJ 2G2�f t�
4v
362 5�
I
I
2 P��
I
Lvk1=SW2," PAa�✓
4J-�P t=ABL
M.ei.��-a�,�CP P�Mp
6Y3 -1-c- ✓ v s1Y c�X� 1
(be- CLE -QV 121`
c� i'isT2�3�tc,ry
� v 1(aic_�
'k SYSTErti 5 g A Lc g
-rc-,
M kKl w') " 2FrNl r?-
�LIASi=. �'O S i=ce RS G,4,J�
PuPt=1zTY iaar,5 �
s VA Au 16F—
tJ�w}�t ✓ �� C-t-QA2t-Y
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: _ fC irA - FIOL�-
Address: (LKc'.�alew� L�,(IC.-[ Date Evaluated: O4 I
Proposed Facility: 5� Design Flow (.1949):, 6�
Location of Site:�Bo,F1
roperty Recorded:
Water Supply: rvidual ❑ Well
Evaluation Method: ❑ Pit Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot M
File #:
Code:
Property Size: C) 36
❑ 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
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
G&- Le,
votW
as 3�l
Ole- 5w
rti
-7 y/ 1(�
3
L 3-51
U-a(o
(� Lj
i� Nsiv/sem
�.S
.w
5u
rA-��
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): (�ro.n7aonrnll) f..�lruc�
Available Space 1.1945) Evaluated By:
System Type(s) 22u Others Present: c�t�
Site LTAR _ C2 - 4_ _