IPACHTE# 1-5`_-X 37 V 67 Harnett County Department of Public Health 28447
hDrovement Permit
Authorized State Agent:/— 4 `�ww yXeffl Date: /L / pfaa /f SEE ATTACHED SITE SKETCH
The issuancemit the of this perHealth 6partment 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 taws 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, AM, .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: !oat a'a . 7h o r.aJ- PROPERTY LOCATION: Lona
—/ SUBDIVISION l ,.w�A LOT #
Facility Type: hf Its New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1Z No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** n23-7. AvI t tJYon TyfAa, (Initial) Wastewater Flow: /id 0 GPD
(See note below, if applicable ❑)
c1i%, (Repair)
Installation Requirements/Conditions Number off trenches
Septic Tank Size Ooo gallons Exact length of each trench .70 feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: 6 inches
Maximum Trench Depth of /6-,30 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: ft TON vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
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: l onderttand the jrxienr type specified is different from the type rpeciffed on the application. l accept the rpecihcationr o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to remotion if the site plan, plat or the intended use changes. The Construction Authonzation shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance ith the prodsions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Stt A11AlntV SII[ SRt ItH
Authorized State Agent: L- zeii Date: Ik ( /-?orS
Construction Authorization Expiration Date: is a 0 z d
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: l20f� �l .
ISSUED TO: Po Ae
%.
/
T{t o . of SUBDIVISION /^u,nt\ ^'ar (<
LOT # 117F
NEW
REPAIR ❑
EKPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
M 4 '26
2( fo In
Proposed Wastewater System Type: Q
4. /Cea-c-fi da SNr/6,
Projected Daily Flow:
H@0
GPD
Number of bedrooms:
Y
Number of Occupants: g max
Basement []Yes
I7�4ia
Pump Required: ❑Yes
O No
❑Ma be required based on final location and elevations of facilities
J
Type of Water Supply:
❑ Community
IPublic El Well Distance from well feet Permit valid for.
EJ Five years
Permit conditions:
❑ No expiration
Authorized State Agent:/— 4 `�ww yXeffl Date: /L / pfaa /f SEE ATTACHED SITE SKETCH
The issuancemit the of this perHealth 6partment 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 taws 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, AM, .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: !oat a'a . 7h o r.aJ- PROPERTY LOCATION: Lona
—/ SUBDIVISION l ,.w�A LOT #
Facility Type: hf Its New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1Z No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** n23-7. AvI t tJYon TyfAa, (Initial) Wastewater Flow: /id 0 GPD
(See note below, if applicable ❑)
c1i%, (Repair)
Installation Requirements/Conditions Number off trenches
Septic Tank Size Ooo gallons Exact length of each trench .70 feet Trench Spacing: 9 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: 6 inches
Maximum Trench Depth of /6-,30 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: ft TON vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
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: l onderttand the jrxienr type specified is different from the type rpeciffed on the application. l accept the rpecihcationr o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to remotion if the site plan, plat or the intended use changes. The Construction Authonzation shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance ith the prodsions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit Stt A11AlntV SII[ SRt ItH
Authorized State Agent: L- zeii Date: Ik ( /-?orS
Construction Authorization Expiration Date: is a 0 z d
HTE # /S -S 37yG7 Permit # d %Y Y %
Harnett Connty Department of Public Health
Site Sketch
n PROPERTYLOCATON:
ISSUED TO: pc,-/ P- /o —/ _/ I `xomo r SUBDIVISION LOT # 02
c p, _
Authorized State Agent ��l r� w�— �" �%f Date: /-6 o2Qlj
0 AS IQOC I�r
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:
Address: Date Evaluated:'
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:—/ IJ Public❑ Individual ❑ Well
Evaluation Method:E Auger or ❑ Pit El cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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/
Texxture
.1941
Consistence
Mineralog
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapro
Class
.1944
Resn
Hooz
-18
15-c
C-) - /Ci
All/
IL
✓ ��,✓�
o-52,
G ��I
✓��/Jd�
Description Initial Repair System Other Factors (.1946):
System Site Classification (.19460
Available Space (.1945) Evaluated By) ,ti
System Type(s) Others Present:
Site LTAR .S— •d—