IPACHTE# rc, s ao/ yi Harnett County Department of Public Health 29277
Authorized State Agent: Date: / 2—ZO— f (o SEE ATTACHED SITE SKETCH
The issuance of this permit by theIth Deparunent 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 to revo , it the ne 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, .1952, .1954, .1955, .1956, .1951, .1958. and AM are incorporated by references into this permit and shell be met. Systems shall be instilled in accordance
with the attached system layout.
ISSUED TO: /_d w w a AU e.1-94-/ PROPERTY LOCATION: *'CAI
SUBDIVISION Aver-, Co. A LOT # /-
Facility Type: GYlew ❑ Expansion ❑ Repair
Basement? ❑ Yes D-IIfoBasement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Z< -�' Jka swX%'al �{'vr�) (Initial) Wastewater Flow: 5� GPD
(See note below, if applicable ❑) �� ,
14, a2et cl - n 0(1se5 S fj i� + ,,,Repair)
Installation Requirements/Conditions Number of trenches s
Septic Tank Size rs - iz 50 gallons Exact length of each trench 8 o feet Trench Spacing: feet on Center
Pump Tank Size /ac, - i zs& gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1 X inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDM vs. GPM
Conditions:
Soil Cover. G 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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the slatem type specified it different from the type specified on the application. / accept the specifications of thir 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
tonstrutron Authorization is subject to compliance with the provisions or the Laws and Rules Nr Sewage Treatment and Disposal and to the conditions of this permit ltt AI IACMtU lilt IAtICN
Authorized State Agen : C�
G Date:
/ , Construction Authorization Expiration Date: 17--7o- 2/
Improvement Permit
A building permit
cannot be issued with only an Improvement Permit1]it,f
(6
ISSUED TO: "rd Avcre f E
PROPERTY LOCATION: iM,n11v1 5gr 955 Ln.
SUBDIVISION Aum ecA
54
LOT # fG
/
NEW Lv� REPAIR ❑
EXPANSION El
Site Improvements required prior to
Construction Authorization Issuance:
Type of Structure: -le-5 H3c2
,--p
Proposed Wastewater System Type: 2i5i�
Projected Daily Flow: y8c
GPD
Number of bedrooms: 4
Number of Occupants: 8
max
Basement ❑yeso
Pump Required: es ❑ No
❑MMayybb required based on
final location and elevations of facilities
Type of Water Supply: El Community
L�" Public ❑ Well
Distance from well feet
Permit valid for. I�years
Permit conditions:
❑ No expiration
Authorized State Agent: Date: / 2—ZO— f (o SEE ATTACHED SITE SKETCH
The issuance of this permit by theIth Deparunent 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 to revo , it the ne 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, .1952, .1954, .1955, .1956, .1951, .1958. and AM are incorporated by references into this permit and shell be met. Systems shall be instilled in accordance
with the attached system layout.
ISSUED TO: /_d w w a AU e.1-94-/ PROPERTY LOCATION: *'CAI
SUBDIVISION Aver-, Co. A LOT # /-
Facility Type: GYlew ❑ Expansion ❑ Repair
Basement? ❑ Yes D-IIfoBasement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Z< -�' Jka swX%'al �{'vr�) (Initial) Wastewater Flow: 5� GPD
(See note below, if applicable ❑) �� ,
14, a2et cl - n 0(1se5 S fj i� + ,,,Repair)
Installation Requirements/Conditions Number of trenches s
Septic Tank Size rs - iz 50 gallons Exact length of each trench 8 o feet Trench Spacing: feet on Center
Pump Tank Size /ac, - i zs& gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 1 X inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft TDM vs. GPM
Conditions:
Soil Cover. G 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.
inches below pipe
inches above pipe
inches total
**If applicable: / understand the slatem type specified it different from the type specified on the application. / accept the specifications of thir 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
tonstrutron Authorization is subject to compliance with the provisions or the Laws and Rules Nr Sewage Treatment and Disposal and to the conditions of this permit ltt AI IACMtU lilt IAtICN
Authorized State Agen : C�
G Date:
/ , Construction Authorization Expiration Date: 17--7o- 2/
HTE# EIS - S - Y01411 Permit # 2'/Z -7�4
Harnett County Department of Public Health
Site Sketch
/C,Hwt r rr��r ,, 12
PROPERTY LOCATON: *VSO a nsa lg I �(L t
ISSUED T0: r= t vxr� qy E ( SUBDIVISION A -j 1'LOT # 16
Authorized State Agen jo%za Date: / Z—— 6 Tn
I�
! �� PRuPOSEp
( ! 40 XC -6
( lt4 U.sE
7 _
1
e N
� � I
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
Property ID:
e
On -Site Wastewater Section
Lot
SOIL/SITE EVALUATION File #:
Code:
for ON-SITE WASTEWATER SYSTEM
V✓)nn
Owner: (c^5_`%,CPpllcant: 15�A�C. 6 fl�,rrEL-
Address: L" 16 01.4L"11 51` P 10ate Evaluated: /2 / v9 h4
Proposed Facility: QjflL 5GP Design Flow (.1949): NSG 2,'1 Property Size: G, H S A C .
Location of Site: A �/Y� � „b/ Property Recorded: Yr -s
Water Supply:
Q'Public❑ Individua ❑ Spring Well ❑ S
P g ❑Other
Evaluation Method'Auger Borin + it El cut
P
Type of Wastewater: ewage ❑ Industrial Process ❑ Mixed
P
R
O
SOIL MORPHOLOGY OTHER
I
.1940 .1941 PROFILE FACTORS
L Landscape Horizon
1942
E Position, Depth .1941 .1941 Soil
N Slope% (In.) Structure/ Consistence Wetness/ .1943 .1956 .1944
Profile
Minaralo Soil
Texture Color Sapro Restr
th IN. Class
Class
Horiz
t jf 9,
& LTAR
( Gi 55P A//
6
K 5 e5 i r 4/a'
C) 3
3tl'
Pf
Ll 16
G(.
PS
.. 7.>1 f 41
0.3
Description Initial Repair System Other Factors (.1946): N� K
I les e .1945) System Site Classification (.1948):
Avalabaci Ste -
��dvit;uoul, rHhr�
S stem T e(s) 2 e C. Evaluated By:
"� " Others Present:
Site LTAR G 3