IPAC RHTE# J5 -'257052, Harnett County Department of Public Health 29119
Authorized State Agent: Date: sZltl 31, SEE ATTACHED SITE SKETCH
Be issuance of this permit by the Heahh Department in no way guarantees uana of other permits. The permit holder is ponsible for checking with appropriate governing bodies in meeting their requirements. This
site is object n revocation if the site plan, plat or the intended use changes. The mprovement 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 Treatments and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirement of Rules .1950, .1951, .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 (,1
ISSUED TO: W �.a 1PM �lG�y 2,2gD PROPERTY LOCATION: )AoLtar--s Q s v b
SUBDIVISION 1Uci,Y-r--y Ia01 1I LOT # 1 -)
Facility Type: E ❑ New XExpansion ❑ Repair
Basement? ❑ Yes 'S� No asement Fixtures? ❑ Yes WNo
Type of Wastewater System** MYSNS aQN Ni— (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
n nsY 6N ; t b [A= 1.-. (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size Ee-asr1gallons Exact length of each trench rn feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of:._. inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 01 Feet on Center
Soil Cover: S 1 a ZY inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
C inches below pipe
QL inches above pipe
I 2, inches total
**If applicable: / onderrtand the Xgteffl type spec/b'ed it different from the oe spedfred on the app/kation. /accept the rpedfcatioar of thin permit.
Signature:
Date:
This Construction Authorization is o3'IeRte-r ondon 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
Comuuction Authorization is sl eta romph nc 'sfrfto the Laws and Rules for Sewage The
and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constrt uthorization Expiration Date:
Improvement Permit
A building permit cannot be issued with only an Improvement Pe tt
` 1 p
ISSUED TO: WI"L-1 M'VQP) Dy
PROPERTY LOCATION: 14OLL,&-s I VES Rc�.
SUBDIVISION 1uacEy n 0 M
LOT # I L)_
NEW ❑ REPAIR ❑
EKPANSION �'
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3 gE6XLOo,
1Nor,E
Proposed Wastewater System Type: Cg^ -4 &,ji a m N oa, L-
Projected Daily Flow: Sr. O
GPD
Number of bedrooms: 3
Number of Occupants:
max
Basement ❑Yes No
Pump Required: Dyes Xio
❑ May be required based on
final location and elevations of facilities
Type of Water Supply: ❑ Community
2K Public ❑ Well
Distance from well=" feet Permit valid for.
,five years
Permit conditions:
e�
❑ No expiration
Authorized State Agent: Date: sZltl 31, SEE ATTACHED SITE SKETCH
Be issuance of this permit by the Heahh Department in no way guarantees uana of other permits. The permit holder is ponsible for checking with appropriate governing bodies in meeting their requirements. This
site is object n revocation if the site plan, plat or the intended use changes. The mprovement 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 Treatments and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirement of Rules .1950, .1951, .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 (,1
ISSUED TO: W �.a 1PM �lG�y 2,2gD PROPERTY LOCATION: )AoLtar--s Q s v b
SUBDIVISION 1Uci,Y-r--y Ia01 1I LOT # 1 -)
Facility Type: E ❑ New XExpansion ❑ Repair
Basement? ❑ Yes 'S� No asement Fixtures? ❑ Yes WNo
Type of Wastewater System** MYSNS aQN Ni— (Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
n nsY 6N ; t b [A= 1.-. (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size Ee-asr1gallons Exact length of each trench rn feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of:._. inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 01 Feet on Center
Soil Cover: S 1 a ZY inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
C inches below pipe
QL inches above pipe
I 2, inches total
**If applicable: / onderrtand the Xgteffl type spec/b'ed it different from the oe spedfred on the app/kation. /accept the rpedfcatioar of thin permit.
Signature:
Date:
This Construction Authorization is o3'IeRte-r ondon 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
Comuuction Authorization is sl eta romph nc 'sfrfto the Laws and Rules for Sewage The
and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constrt uthorization Expiration Date:
HTE# Permit # agll01
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: NocLit S P�a�s
ISSUED T0: LL�, �,� �,Kzs� SUBDIVISION -'Uati6y `iaw;� LOT # 1`)
Authorized State AgentDate: )A
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: QAz. v I Design Flow (.1949): 10d�
Location of Site: swN�'�r< Property Recorded: J
Water Supply: Public❑ Individual ❑ Well
Evaluation Method. Aug Bonng ❑ Pit ❑ Cut
Type of Wastewater:] Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
Description Initial Repair System Other Factors (.1946):
System, Site Classification (.1945):•]
Available S ace(. 1945) Evaluated By:&
System T e(s)GU Others Present:
Site LTAR
n '... — a .. ., ...
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure(
Texture
.1941
Consistence
Minerslo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth
.1956
Sapro
Class
,1944
Row
Horiz
Profile
Class
& LTAR
oa6
G s
vfn
Description Initial Repair System Other Factors (.1946):
System, Site Classification (.1945):•]
Available S ace(. 1945) Evaluated By:&
System T e(s)GU Others Present:
Site LTAR
n '... — a .. ., ...