IPAC RHTE# 1C-5-3915HOQ Hara.at county Department of Public etearbn 28936
Authorized State Agent:: 4wi i6 Date: � 1111 k SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guar ante ��suance of other pioneer The permit holder a responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject ro revocation if the site plan, plat or the intended use changes. The mpmvement 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
Improvement Permit
(Required for Building Permit)
A building permit cannot be issued with only an Improvement Permit
The construction and installation requirements of Rules .1950, .1952,
W 64>04s
�i0e'elE7 1NG
PROPERTY LOCATION: 0L9 OS N-a.l
' %Nr4O
ISSUED TO:
.4 r— PROPERTY LOCATION: C)t_o
SUBDIVISION s "0s -s? 15 T,
LOT #
NEW REPAIR ❑
ERP ON ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type:)
`a s� cu RacT ooa
�73;[�
Rtap SY .5
Projected Daily Flow: 4C
GPD
'(Repair)
Number of bedrooms: a i
Number of Occupants:
max
Septic Tank Size \ 000 gallons
Basement ❑Yes >< No
Pump Tank Size gallons
Trenches shall be installed on contour at a Soil (over.
Pump Required: Dyes ❑ No
X May be required based on
final location and elevations of facilities
(Trench bottoms shall be level to +/-1/4"
Type of Water Supply: ❑ Community 'Q Public ❑ Well
Distance from well i t C feet Permit valid for.Five
years
Permit conditions:
No expiration
Authorized State Agent:: 4wi i6 Date: � 1111 k SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guar ante ��suance of other pioneer The permit holder a responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject ro revocation if the site plan, plat or the intended use changes. The mpmvement 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.
in all directions)
Pump Requirements: ft TDH vs. GPM
Aggregate Depth:
(onditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type rpeciled is different from the type Jpecified on the app/ica&w. / accept the rpetihrationr of this permit.
Owner/Legal Representative Signature:
construction Authorization is
Authorized State Agent:
Date
plat or the intended use changes. The Construction Authorization shall not be transferred when there i
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
4�r�s Date: B I a 1L
uction Authorization Expiration Date: 6 V112'
SEE ATTACHED SITE SKETCH
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: �ETa�C� 1�OME�
.4 r— PROPERTY LOCATION: C)t_o
05t -sial
Facility Type: `�F� �z+S'�� $�
SUBDIVISION `=�ur�hs
New ❑ Expansion ❑ Repair
MttNQQ- LOT# l
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'bkNo
Type of Wastewater System** 'a V/ o RE0 V Cry o N S -15-1
(Initial) Wastewater Flow: y'90 GPD
(See note below, if applicable ❑)
Rtap SY .5
'(Repair)
Installation Requirements/Conditions
Number of trenches T
Septic Tank Size \ 000 gallons
Exact length of eachtrenih`�4 O feet Trench Spacing: q Feet on Center
-9—Inches
Pump Tank Size gallons
Trenches shall be installed on contour at a Soil (over.
Maximum Trench Depth of: 141 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
Aggregate Depth:
(onditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the system type rpeciled is different from the type Jpecified on the app/ica&w. / accept the rpetihrationr of this permit.
Owner/Legal Representative Signature:
construction Authorization is
Authorized State Agent:
Date
plat or the intended use changes. The Construction Authorization shall not be transferred when there i
of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit
4�r�s Date: B I a 1L
uction Authorization Expiration Date: 6 V112'
SEE ATTACHED SITE SKETCH
HTE# I 6 ' S 3°10X02 Permit # a`b�13 J'
Harnett County .Department of Public Health
Site 'ketch
PROPERTY LOCATON: C) Lo u1Z:11-W
ISSUED TO: - � �v '�5 1n'G r SUBDIVISION � ��Orl- N3 M a N\c2 LOT #
Authorized State Agent: =O Date: la�i6
�i06E0nt WPy
�5U
1 I D
Q 3i
E
y N0LoE 7
z r
v is C6?NNe.
� � 9
AIL6P.
Department of Environment, Health and Nature sources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: h, j'n Design Flow (.1949):,-
Location of Site: Property Recorded:
Water Supply: ❑*public❑ Individual ❑ Well
Evaluation Method. Auger Bonng ❑ Pit ❑ Cut
Type of Wastewater: ❑-ewage ❑ 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/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapm
Class
.1944
Restr
Horiz
s
In
03
C s
vF( ;I i
A
P5
Description Initial Repair System Other Factors (.1946):
S st an Site Classification (.1948): �9
Available Space(. 10—flEvaluated By: 7
System Type(s)
o. Others Present:
Site LTAR