IPACHTE# ��-5 µ��3 Harnett County Department of Public Health 29424
Authorized State Agent: vcch-
The issuance of this permit by the Health Department in no way guarantees the n
site is subject to revocation if the site plan, plat or the intended use changes. The Impri
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date:
SEE ATTACHED SITE SKETCH
other permits. The permit holder5s respirable for checking with appropriate governing bodies in meeting their requirements. This
nent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provision of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordana
with the attached system IayouL \ ` (�
ISSUED TO: �``>1 t'vt�C' Ce N'nyC PROPERTY LOCATION: YJ SL.L Ly �S Qb
SUBDIVISION S"4GCfs1%707- LOT # SO
Facility Type: S�"o C�3 x3 'New ❑ Expansion ❑ Repair
Basement? ❑ Yes -'Ek No Basement Fixtures ❑ Yes "N�Wo n
Type of Wastewater System" r—) 5V), C�° / y 1 y ut, o r'J �/ T G➢rN (Initial) Wastewater Flow: LiNO GPD
(See note below, if applicable ❑) °
a5 RGp . SYS (Repair)
Installation Requiremems/Conditions Number of trenches I
Septic Tank Size LID it, v gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench %.4 O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of 50 -SS inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: �) Feet on Center
Soil Cover: 3C� 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: / moderstand the ryrtem type specified is different fpm the type specified on the application. / accept the rpecirboitzr o/this permit
Construction
plan, plat or the intended use changes.
not
the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: ��� v �� QHS Date: 3
Construe Ion Authorization Expiration Date:
Date:
is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
Improvement Permit
A building permit
cannot be issued with only an �"provement Permit
�s
�v �N
PROPERTY LOCATION: `r'ey>_.L 1--V GAS
ISSUED TO: t_p IT�C�
NEW ❑
i5�
SUBDIVISION 5 ,Ct S ss�T 11
LOT #
Imo„ REPAIR
S�
EXPQN
(I'Y3
❑
Site Improvements required prior to Construction Authorization
Issuance:
Type of Structure: Z
X36 I
Proposed Wastewater System Type:
QS 7o 'P=nvCS\0-.j
Projected Daily Flow: L 1`6
GPD
Number of bedrooms:
Number of Occupants: $
max
Basement ❑Yes , No
Pump Required: ❑Yes - -eKNo
❑ May be required based on
final location and elevations of facilities
Type of Water Supply: ❑ Community >Public ❑ Well
Distance from well Net Permit valid for.
'Five years
Permit conditions: \
w
❑ No expiration
Authorized State Agent: vcch-
The issuance of this permit by the Health Department in no way guarantees the n
site is subject to revocation if the site plan, plat or the intended use changes. The Impri
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Date:
SEE ATTACHED SITE SKETCH
other permits. The permit holder5s respirable for checking with appropriate governing bodies in meeting their requirements. This
nent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provision of
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordana
with the attached system IayouL \ ` (�
ISSUED TO: �``>1 t'vt�C' Ce N'nyC PROPERTY LOCATION: YJ SL.L Ly �S Qb
SUBDIVISION S"4GCfs1%707- LOT # SO
Facility Type: S�"o C�3 x3 'New ❑ Expansion ❑ Repair
Basement? ❑ Yes -'Ek No Basement Fixtures ❑ Yes "N�Wo n
Type of Wastewater System" r—) 5V), C�° / y 1 y ut, o r'J �/ T G➢rN (Initial) Wastewater Flow: LiNO GPD
(See note below, if applicable ❑) °
a5 RGp . SYS (Repair)
Installation Requiremems/Conditions Number of trenches I
Septic Tank Size LID it, v gallons
Pump Tank Size gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench %.4 O feet
Trenches shall be installed on contour at a
Maximum Trench Depth of 50 -SS inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: �) Feet on Center
Soil Cover: 3C� 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: / moderstand the ryrtem type specified is different fpm the type specified on the application. / accept the rpecirboitzr o/this permit
Construction
plan, plat or the intended use changes.
not
the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent: ��� v �� QHS Date: 3
Construe Ion Authorization Expiration Date:
Date:
is a change in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# 1i-5-4(A�,-� Permit # a-�L�
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: W % LL �—V GSV�j \gyp
ISSUED TO: Co r4 -73S , \N t'. SUBDIVISION S w 56-., w S>i Fn _ LOT # 50
Authorized State Agent 94-,1�S ODate: 3 u
1, a
F'u LI -V
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):)'3' j
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: N uger 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/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
7
r"
0-12
G L5
Vi92 a�
ra-so
sgx CAL
Fn s%7p
Description 1 inhim 1 Repa' System I Other Factors (.1946): ++
S stet Site Classification( 1948):eJ
Available Space (.1945) EvaluatedBy:c3Y
Sys on Type(s) Others Present:
Site LTAR • 'S