IPACHTE# ` - Harnett Department o Public alt
26979
Dr ve ent Permit
Authorized State Agent:: 7 ~ - s 6
The issuance of this permit by the Health Department in no way guarantees he he issuan
site is subject to revocation if the site plan, plat, or the intended use changes. The Impr
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: IA 141V& SEE ATTACHED SITE SKETCH
permits. The permit holder is r sponsible for checking with appropriate governing bodies in meeting their requirements. This
ermit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .19
52, .1954, .1955, .1956, .1951, .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.
n
ISSUED TO: 77-1- ,J C~`I 29
PROPERTY LOCATION: S1 oc-X.l PaD 9,4)
VO
SUBDIVISION 5-cocX4W-
0 V-.C7 Snn LOT # 5C
Facility Type: 5
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes XNo
a~~
y
Q
,
3~d
Type of Wastewater System
u Cf)y
s UCr
\ QJ.,
aN ~G
Initial) Wastewater Flow:
GPD
(See note below, if applicable
Q v r19 7a
`
6 Q-tO (Repair)
Installation Requirements/Conditions
Number of trenches
Septic Tank Size 6 O®® gallons
Exact length of each trench feet
Trench Spacin Feet on Center
Pump Tank Size t-O O O gallons
Trenches shall be installed on contour at a
Soil Cover: E -1 ~ inches
Maximum Trench Depth of: 'Da 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. TDH vs.
GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions: R~ a cC.F: ` 'Gcs
~r~Lia y N-14659 Q E-SSUR.6 la L
ance X60, b 9)e6 inches total
r- LINES (INCLUDING IRRIGATION) UST RE 1 FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
UsiLITIES ALLOWED IN INITIAL OR REPAIR DRAT FIELD AREA,
*"If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is Subject revocati n if the s' Ian, 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, u bjec`t to comph wilt eQW e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: vv Date:
Con tion Authorization Expiration Date:
HTE#
Permit # ass.- n,
Harnett County department of iblica Health
Site Sketch
o'
~'~12U Y~J
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: 3 e,gnca,<, 5 Design Flow (.1949): zl
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method Auger Boring Pit ❑ Cut
Type of Wastewater: --n Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
.1940
SOIL MORPHOLOGY
OTHER
L
Landscape Horizon
.1941
PROFILE FACTORS
E
#
Position/
Slope %
Depth
(In.)
.1941
Structure/
.1941
Consistence
.1942
Soil .1943 .1956
Wetness/
.1944 Profile
Texture
Mineralo
Soil
Sapro
Color D th IN. Class
Restr Class
Horiz & LTAR
a/a
_~G~
b S
wn
a
~ X15
~ ~
11
1 S j~
c
s
icy(L~~a 4
QNa
-
G U5
VC" NJ
,5
Description
Initial Repair System Other Factors (1946):
'
A
il
S ste
Site
Classification
( 1948)
va
able S ace .1945)
S stem Ty e(s)
v9 ; M''(' J- fi, ` j C ccEc
:
Evaluated B
Y ~T
Site LTAR
3
.
Others Present: