IPACHTE#z/,s_S -3'72// Harnett County Department of Public Health 28571
hDrovement Permit
Authorized State A : Date: /O — / °) —/S' SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 ill 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 construction and installation requirements of Rules .19SO, .1951, .1954, .1955, AM, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in aaordance
with the attached system layout
ISSUED TO:�(/ 1/ dAL &C PROPERTY LOCATION-7i2/S/r/S A -rN5 PL -4>
/ SUBDIVISION LOT # 1-7
Facility Type: D New ❑l xpansion El Repair
Basement? El Yes No Basement Fixtures? El Yes 2 o
Type of Wastewater System** 0016I ��U CTCV gt77n-'-kG, (Initial) Wastewater Flow: V80 GPD
(See note below, if applicable ❑)
c. r� (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 DOU gallons
Pump Tank Size gallons
Pump Requirements: k TDH vs.
Conditions:
Exact length of each trench /A&% feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 2L inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: ( Feet on Center
Soil Cover: <a inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
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.
Linches below pipe
Z inches above pipe
/ I inches total
**If applicable: / understand the system type spedfied is different from the type specified on the applicadon. / accept the specibcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be tmnderred when there is 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 continuum of this permit ltt MIAMI) lilt MtIIN
Authorized State Agfa-- E Date: /O—/ "a—t �'l
Construction Authorization Expiration Date: / 0 — / 11 zo
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:-� /V(/9 IM
ISSUED T0: ;&�
b z�
�3Ltr.�� �>�dz✓tm SUBDIVISION /QT�L��_s ✓r/LSb7g
LOT # f�
NEW 2-
REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
S FLS
Proposed Wastewater System Ty e: J�6
rW-bVCTLrn3
Projected Daily Flow:
��
GPD
Number of bedrooms:
�N
Number of Occupants: max
Basement []Yes
LTJ No
/
Pump Required: []Yes
Type of Water Supply:
❑ No
El Community
t.1 M e required based on (nal location and elevations of facilities
blic ❑ Well Distance from well feet Permit valid for.
Five years
Permit conditions:
❑ No expiration
Authorized State A : Date: /O — / °) —/S' SEE ATTACHED SITE SKETCH
The issuance of this permit by 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 ill 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 construction and installation requirements of Rules .19SO, .1951, .1954, .1955, AM, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in aaordance
with the attached system layout
ISSUED TO:�(/ 1/ dAL &C PROPERTY LOCATION-7i2/S/r/S A -rN5 PL -4>
/ SUBDIVISION LOT # 1-7
Facility Type: D New ❑l xpansion El Repair
Basement? El Yes No Basement Fixtures? El Yes 2 o
Type of Wastewater System** 0016I ��U CTCV gt77n-'-kG, (Initial) Wastewater Flow: V80 GPD
(See note below, if applicable ❑)
c. r� (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1 DOU gallons
Pump Tank Size gallons
Pump Requirements: k TDH vs.
Conditions:
Exact length of each trench /A&% feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: 2L inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: ( Feet on Center
Soil Cover: <a inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
Aggregate Depth:
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.
Linches below pipe
Z inches above pipe
/ I inches total
**If applicable: / understand the system type spedfied is different from the type specified on the applicadon. / accept the specibcationr of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be tmnderred when there is 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 continuum of this permit ltt MIAMI) lilt MtIIN
Authorized State Agfa-- E Date: /O—/ "a—t �'l
Construction Authorization Expiration Date: / 0 — / 11 zo
HTE# 3-7Z.0
Harnett County
Permit # 2-'e, -1
Department of Public Health
Site Sketch
PROPERTY LOEATON:5C/MA-77,=4 S21�
ISSUED TO: 3 SUBDIVISION S ✓ LOT # L, Z
Authorized State AgentCl Date: /b— / — �5—
w
N
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: Z_�Da
Address: Date Evaluated: 10-1 2 "1, ta"
Proposed Facility: ',;I" Design Flow (.1949): (> 23a
Location of Site: �,� Property Recorded:
Et•u
Water Supply: blic❑ Individual Cl❑ Well
Evaluation Method:❑ Boriog ❑ Pit ❑ Cut
Type of Wastewater: ErSewage ❑ 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=19,41.,.
Structure/
Texture
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Honz
)j2-
L
0-�6
r�
as,_C. Aq-
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By
System Type(s) Others Present:
Site LTAR