IPACHTE# Harnett County Department of Public Health 28730
Authorized State Agent: a Date: 5 I) 6116 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc Cher Permits. The permit hail, , pol.sible 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 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, .1953, .1954, .1955, .1956, .1957, .1950. 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: QA��pO� lA art Nen PROPERTY LOCATION: NG�17
SUBDIVISION %SC --1s r'%, gap.4 tJ LOT # 3
Facility Type: o x5x� New El Expansion ❑ Repair
Basement? ❑ Yes � No Basement Fixtures? ❑ Yes
Type of Wastewater System** 9-S°7 4 P'cO V CX � N �Y55 G>c'� (Initial) Wastewater Flow: ® GPD
(See note below, if applicable ❑) nn
`1S °'/ o .SYS (Repair)
Installation Requirements/Conditions Number of trenches 1 q
Septic Tank Size N o o e, gallons Exact length of each trench 1'i5Ti feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a M � Soil Cover. 0' g inches
Maximum Trench Depth of: sAja_ 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. TDH vs. GPM inches below pipe
� Aggre ate Depth: inches above pipe
Conditions: Ruw C)ysYLt\ \
trN it. 0'4 � n Irl. e. �4 vise �od,VM Z inches total
c S
U5`GP k5 5"L.'ti )r %J Cm
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.
**If applicable: / undealaad the syrtem type specified is different from the type speafled on the app/intron. / accept the speal/iationr of this permit.
Owner/Legal Representative Signa • Date:
This Construction Authorization i In`ct to revoaho the Ian, plat m the intended use changes. The construction Authorization shall not be transferred when there h a change in ownership of the site. This
Construction Authorization is s Io . a with the p o and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: N1 Date: 5 C
Construction ization Expiration Date: 51 li 1
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
n
\, PROPERTY LOCATION: N0)0-
ISSUED TO: r�ls�9�SE
ra�� rS SUBDIVISION Kto )N n- iSU-wyi
LOT#�
NEW`(
REPAIR ❑
��y}P ANSION 11Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -
MoD CJ; /
Proposed Wastewater
System Type: G --'"A ' aQCK 10 -,J 5y s-sC�v.
Projected Daily Flow:
360
GPD
Number of bedrooms:
"3
Number of Occupants: max
Basement []Yes
'�K No
Pump Required: ❑Yes X No
❑ May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
", Public ❑ Well Distance from well 1 C> 0 feet Permit valid for:
Five years
Permit conditions:
Q�
_
❑ No expiration
Authorized State Agent: a Date: 5 I) 6116 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc Cher Permits. The permit hail, , pol.sible 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 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, .1953, .1954, .1955, .1956, .1957, .1950. 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: QA��pO� lA art Nen PROPERTY LOCATION: NG�17
SUBDIVISION %SC --1s r'%, gap.4 tJ LOT # 3
Facility Type: o x5x� New El Expansion ❑ Repair
Basement? ❑ Yes � No Basement Fixtures? ❑ Yes
Type of Wastewater System** 9-S°7 4 P'cO V CX � N �Y55 G>c'� (Initial) Wastewater Flow: ® GPD
(See note below, if applicable ❑) nn
`1S °'/ o .SYS (Repair)
Installation Requirements/Conditions Number of trenches 1 q
Septic Tank Size N o o e, gallons Exact length of each trench 1'i5Ti feet Trench Spacing: 1 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a M � Soil Cover. 0' g inches
Maximum Trench Depth of: sAja_ 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. TDH vs. GPM inches below pipe
� Aggre ate Depth: inches above pipe
Conditions: Ruw C)ysYLt\ \
trN it. 0'4 � n Irl. e. �4 vise �od,VM Z inches total
c S
U5`GP k5 5"L.'ti )r %J Cm
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.
**If applicable: / undealaad the syrtem type specified is different from the type speafled on the app/intron. / accept the speal/iationr of this permit.
Owner/Legal Representative Signa • Date:
This Construction Authorization i In`ct to revoaho the Ian, plat m the intended use changes. The construction Authorization shall not be transferred when there h a change in ownership of the site. This
Construction Authorization is s Io . a with the p o and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: N1 Date: 5 C
Construction ization Expiration Date: 51 li 1
HTE# Permit # a'WISO
Harnett County Department of Public Health
Site Sketch
n 1 \ PROPERTY LO(ATON: N ��
ISSUED TO: �F LQOI r)arnE5 SUBDIVISION �n1 bqo. " LOT #
Authorized State Agent�S�L�tF(ZSo �i�S7rlDate: 5 1k L
"Ovsp
1�RE4a «�
To L1),
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: Q\
Proposed Facility:Design Flow (1949): 6 l3 �` C
Location of Site: Property Recorded:
Water Supply: 1�ublic❑ Individual ❑ Well
Evaluation Method Aug(�.Boring ❑ Pit ❑ Cut
Type of Wastewater: .jam, Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Honz
Description Initial Repai ystem Other Factors (.1946): c
S ste Site Classification (.1948):.?--'
Available Space(. 1945) Evaluated By:
System Type(s) l Others Present: �—
Site LTAR a
Ix�sn A " ,v t�GGo�