IPAC RHTE#(a-s.36 /r7 Harnett County Department of Public Health 28728
hDrovement Permit
Authorized State Agent:: 12 /'" rt[ Date: .J/ .2LA-f er/6 SEE ATTACHED SITE SKETCH
The issuance of this permit bya Health Department in no way guarantees the issuance of other permits. The permit holder u responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m 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 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 .1958, .1952, .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//
ISSUED TO: %CYaoe1 JL'-t¢r 7 -Aro ^%J' PROPERTY LOCATION: III`drryi. sic/•
SUBDIVISION LOT #
Facility Type: &41 A,,L�Elt�r New ❑ Expansion Repair
Basement? El Yes 1-1NoBasement Fixtures? 1:1 Yes 1:1 No
Type of Wastewater System** CoA ✓eA 4eto.Q (Initial) Wastewater Flow: /o v GPD
(See note below, if applicable ❑)
ConVe,t�.c'1e,-Q (Repair)
Installation Requirements/Conditions Number of trenches /
Septic Tank Size /000 gallons Exact length of each trench 8-5- feet Trench Spacing: `� Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: i inches
Maximum Trench Depth of: / 8 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: h. TON vs. GPM 6 inches below pipe
,R
Aggregate Depth: �_ inches above pipe
Conditions: It�n cl/G. e I t� opt Comic r �eZ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type speared is different from the type sireriled on the app/iradon. / arrept the rpech rationr 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 transferred when there is a change in Ownership of the site. This
LonstmRion Authorization is subject to complia the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IAIM[U lilt MtILM
Authorized State Age n —� G a., F� Date: 22z v/6
Construction Authorization Expiration Dater 2z ZQ
A building permit cannot be issued with only anI provery�ent Permit
r
�yy
PROPERTY LOCATION: ! r I - /fir i u/ Rd
ISSUED TO- O- / `e Ce (
c n.5! o roof SUBDIVISION
LOT #
NEW L✓ REPAIR ❑
EXPANSION ❑ Site Improvements required prior to Construction Authorization
Issuance:
Type of Structure: So i 7 x
Aas fl & V f *, , 2
Proposed Wastewater System Type: C o t Vaa4 IL 4w n -f
Projected Daily Flow: /oq
GPD
Number of bedrooms: Al 4
Number of Occupants: NA max
Basement ❑Yes RIO
Pump Required: Dyes ❑ No
J
Ma be required based on final location and elevations of facilities
Type of Water Supply: ❑.0 marts
f" Public El Well Distance from well Met Permit valid for.
C� Fve years
Permit conditions: /V o�eor
h.ra .•+/ :1
❑ No expiration
Authorized State Agent:: 12 /'" rt[ Date: .J/ .2LA-f er/6 SEE ATTACHED SITE SKETCH
The issuance of this permit bya Health Department in no way guarantees the issuance of other permits. The permit holder u responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m 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 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 .1958, .1952, .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//
ISSUED TO: %CYaoe1 JL'-t¢r 7 -Aro ^%J' PROPERTY LOCATION: III`drryi. sic/•
SUBDIVISION LOT #
Facility Type: &41 A,,L�Elt�r New ❑ Expansion Repair
Basement? El Yes 1-1NoBasement Fixtures? 1:1 Yes 1:1 No
Type of Wastewater System** CoA ✓eA 4eto.Q (Initial) Wastewater Flow: /o v GPD
(See note below, if applicable ❑)
ConVe,t�.c'1e,-Q (Repair)
Installation Requirements/Conditions Number of trenches /
Septic Tank Size /000 gallons Exact length of each trench 8-5- feet Trench Spacing: `� Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: i inches
Maximum Trench Depth of: / 8 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: h. TON vs. GPM 6 inches below pipe
,R
Aggregate Depth: �_ inches above pipe
Conditions: It�n cl/G. e I t� opt Comic r �eZ inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type speared is different from the type sireriled on the app/iradon. / arrept the rpech rationr 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 transferred when there is a change in Ownership of the site. This
LonstmRion Authorization is subject to complia the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt AI IAIM[U lilt MtILM
Authorized State Age n —� G a., F� Date: 22z v/6
Construction Authorization Expiration Dater 2z ZQ
HTE#/ �'' % d /S / Permit # �7 % 7�_
Harnett County Depailinent of Public Health
Site Sketch
ISSUED TO:
Authorized
M
PROPERTY LOCATON: f "t C&d ur /C/,
UIRM MN LOT #
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:
❑ Public❑ Individual ❑ Well
Evaluation Method: El Auger Boring ❑ Pit ❑ 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/
T"ture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Rear
Horiz
?
,3,)z
0
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR