IPACHTE# o°v-S-Q0 J Harnett County Department of Public Health 25691
PROPERTY LOCATION. *~aGs~~'Ca n,s L-
ISSUED TO: ~ J P o t, ( rk-,cr. S<LVcr: s c, r l SUBDIVISION p. SG.o.Sa,v S LOT # G_
NEWV REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sip l~4 3(';O
Proposed Wastewater System Type: Gc ,.v 6.+"r \ ON P.t._
Projected Daily flow: .3G0 GPD
Number of bedrooms: 3 Number of Occupants: Co max
Basement ❑Yes No
Pump Required: ❑Yes ~K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -;K,, Public ❑ Well Distance from well t0 O feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: R.EtiS Date: V31, 51011, SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu f 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, pla4 or the intended use changes. The Improve Kt 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 .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 TO: e
p,so,s a.c f-- Co ,-r2vtS,o r, PROPERTY LOCATION: F0- yeox", X -7y-p' t L-
1 SUBDIVISION GAOpLSNP 5e0,6or,5 LOT # r-9
Facility Type: fl~~~1-f'~Ga J New El Expansion ❑ Repair
Basement? ❑ Yes -S~ No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** C o H v G ~"c v 0" 9, t... (Initial) Wastewater Flow: GPD
(See note below, if applicable
Cow fl~-- sv N A L (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size V Co p gallons Exact length of each trench "1S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. a'i' 3U 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: \4k-q- 1-- t4 ~v ~t{B6 16 Vaor\sr~c%r-S*S x, ~n 011 L,~.~ ta- inches total
n P`I IF-, C-0-0 4-,A O N UV V"C V ~?.1.~ C r,- Q A 1 CL A
**If applicable: / understand the system type rpeciled is different from the type speciled on the app/ication. / accept the specillwionr of this permit
Owner/Legal Representative Signature: Date: use
ansferre ConstructionLAuthorizationais subject~toccomplianceAim me sueso'ns pia~eoLawseandeRules for SewagesT eatment andiDisposal anduto the Iconditonstrof this permitn there is a ownership of
ATTACHED eSIsiw This
TE SKETCH
Improvement Permit
A building permit cannot be issued with only V, Permit
o
Authorized State Agent: Ik-5 Date: So S
ction Authorization Expiration Date: to
HTE# Q 9 -S- X7kn 6L} Permit # a5Gq 1
Harnett County IDepartment of 1"liblic Health
Site Sketch
PROPERTY LOCATON: PO N o E aS np.~ y
ISSUED T0: ~~°N Qa,cCo Esc . SUBDIVISION _ LOT #
Authorized State Agent: ~~~~sC01.,vfd -►of fldF~ Date: ►O, 5 b`1
130,
11
Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOIIJSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
(hunt: Applicant:
Address: Date Evaluated: IrA Joy
Proposed Facility: 3 g s oaoo- Design Flow (.1949): 3.4 o
Location of Site: Property Size:
Property Recorded:
Water Supply: Public ❑ Individual ❑ Well ❑ 11 Spring ❑ Other
Evaluation Method: Auger Boring ❑ pit cut
Type of Wastewater: QrSewage ❑ 1ndustnal Process ❑ Mixed
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SOIL MORPHOLOGY
.1940
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eoape
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Deptb
.1941
Slope %
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.1941 Soil .1943 .19%
Coma M" wdnew soil SWO
Mmaeio Cola CIaM
V Fc., ~+s 1 ^c4
S*em
Site Classification (.1948Y S
Evaluated By:
Others Present:
.1944 ?rode
Rm& CI M
HO& ALTAR
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