IPAC RHTE# Harnett County Department of Public Health 2 5 4 8 0
(marovement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: L-Emy6 LT-p+cir 9-1~-
ISSUED T0: C~ c ~S 1 ^+p OE~tCwPt~~ SUBDIVISION
LOT # Ma.
NEWA REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S F9 <4~
Proposed Wastewater System Type: Cyr vE n c r o.L
Projected Daily flow: ] G 0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 4No
Pump Required: ❑Yes ~ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well IOV feet Permit valid for. five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 5 ~.1 16q SEE ATTACHED SITE SKETCH
The issuance of this permit by the health Department in no way guarantees the issuanc er 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 rmit 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 .1950, .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.
ISSUED T0: GA~tat~GsS l''`"'a ~),,v. PROPERTY LOCATION: LSMUEL-'t
Facility Type: sv") X New
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System** Ce) r.,vGtvS y0 N P., L
(See note below, if applicable
C'0 'Z'4 t-, o rt P.lL (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size '-c:) 0 6 gallons Exact length of each trench O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. aL j inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
(Initial) Wastewater Flow: 3~ O GPD
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
12 inches total
*If applicable: l understand the r,r stefl7 type specified is different from the type specified on the application. l accept the specifications of this permit
Owner/Legal Representative Signature: Date:
Tk;~ fnntn A-h
- - - - - • r °4 uinug<s. file wustrucuon aumonzanon shall not oe transterrea when there is a change in ownership of the site. This
Construction Authorization is su ect (compliance o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
SUBDIVISION Foa,C5-S (34'.Y-C' LOT #
❑ Expansion ❑ Repair
'M No
Authorized State Agent: pate: 6 ai
Cons n Authorization Expiration Date: $
HTE# O`1-S-a.1g5`1 Permit # ~SiiFdO
narnett county Departinent of Y' blic nealth
Site Sketch
PROPERTY LOCATON: 1- njGL BLc .~c- ~D
ISSUED TO: CP,•r -s55 LP,4p vE~op~„E SUBDIVISION Faa.r~sc bwcs LOT # ~
Authorized State Agent. ~L j tA~vtrL "SoL pp Date: 51 o l 00\
to) /
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Division of Environmental Health Property ID:
On-site Wastewater Section
Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: [ j Public Individual Well Spring [ j Other
Evaluation Method: [ ] Auger Boring Pit [ j Cut
Type of Wastewater: [ ] Sewage [ ] Industrial Process Mixed
P
R
o
1=
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L'
E
#
1940
Landscape
Position/ _
Slope%
Horizon
Depth
(IN.)
~
1941
Structure/
Texture
1941
Consistence'
Mineralogy
.1942
Soil -
Wetness/,
Color
1943
Soil i l
Depth (IN.)
1956
Sapra'
Class
1944'
Restr'
Horiz
Profile
Class
& LIAR
.F~
~6
Co ~
~F2 NS Ir1•P
3
SAC oa,~ ~~>J
~ s ~
G
Description Initial System Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: