IPACHTE# 1 y0'79z Harnett County Department of Public Health 29342
hDrovement Permit
Authorized State Agent: 1 Date: 03 / Z z-/ t -7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o other permits. The permit holder is responsible for decking with appropriate gomming 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
Reouired for Buildime Permit
The construction and installation requirements of Rules .1958, .1957, Ali .1955, .1956, .1957, .1958. and .1959 are incorporated by references inm this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
A building permit cannot be issued with only an Improvement Permit
'S
( %rixe -5060600 fid)
ISSUED TO: G6 P�J1,
1-n-Eerec-e!iC—
PROPERTY LOCATION: UC.A L e
L4"yt? ( to 1y g:.p
ISSUED% G�
���
_
F.=n-tt'rPc,;1'd SUBDIVISION -1OFrsylSnn G:.c-m
LOT#
NEW III,-'
REPAIR ❑
EXPANSION ❑ Site Improvements required prior
to Construction Authorization Issuance:
Type of Structure: 362 SF
h 6q.q e y f al
❑ No
Proposed Wastewater System Type:
7-0, (led cC 5f4!6g^,.r
255, /lc2ucL cn SYs1-"
Projected Daily Flow:
360
GPD
Number of bedrooms:
3
Number of Occupants: G max
Basement ❑YesC�o
Pump Required: ❑Yes
❑ No
Iii -flay It equired based on final location and elevations of facilities
Type of Water Supply:
❑ Community
fst' Public ❑ Well Distance from well feet
Permit valid for. f
Permit conditions:
❑ No expiration
Authorized State Agent: 1 Date: 03 / Z z-/ t -7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o other permits. The permit holder is responsible for decking with appropriate gomming 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
Reouired for Buildime Permit
The construction and installation requirements of Rules .1958, .1957, Ali .1955, .1956, .1957, .1958. and .1959 are incorporated by references inm this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
^^ ,, `
a(ue4 �Crl11n SCJn •�O
ISSUED TO: G6 P�J1,
1-n-Eerec-e!iC—
PROPERTY LOCATION:
J\
5 o.cN to L crw- Sa tN3y
SUBDIVISION �TnVAseA
Fr-1-rn LOT # S/(L
Facility Type: 34a SFO
Cry 9 e Y v9'% ER New
❑ Expansion ❑
Repair
Basement? ❑ Yes ❑
No Basement Fixtures? ❑ Yes
❑ No
Type of Wastewater System**
255, /lc2ucL cn SYs1-"
(Initial) Wastewater Flow: c360 GPD
(See note below, if applicable ❑)
Pa(AP to -ZS 5'o Dee 6y3re.w (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size lora gallons Exact length of each trench �fS feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: t$ X2`6 inches
(Trench bottoms shall be level to +/-1/4"
in all directions) 1$"-3 30" t8ae
Pump Requirements: ft. TON vs. GPM
Conditions:
Trench Spacing: I' Feet on Center
Soil Cover. G MtN inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
C, inches below pipe
Z- inches above pipe
IT_ inches total
**If applicable: l understand the gstem type upedled it different hom the type dpecded on the application. l accept the cpecileationt of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
construction Authorization is subject in compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Ag �/, �� Date: 03/Zz/f7
Construction Authorization Expiration Date: 03/z a./ Z' i
HTE# �� S `) 0 Permit # 2 G 34L
Harnett County Department of Public Health
Site Sketch
( Pafv'e_ �tlln�5on fW
PROPERTY LOCATON: 1 e- Ln C 5 n 143'4 J
ISSUED TO: CA 0,4h SUBDIVISION 'rotinsoa LOT # Y6
Authorized State Agent: Date: 0 3.I 2 ztj a
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: >`" c Applicant: (? 6 Vey �
t
Address:$tidllc La. Date Evaluated: 03/Z0/61—
Proposed Facility: 332 5' tb Design Flow (.1949):;[o (;iD
Location of Site:-5w,er„ t m Property Recorded I'CS'
Water Supply: 0 Public❑ Individual ❑ Well
Evaluation Method:[3,Aiger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑,Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: O. 1/?*"
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(in J
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
1
I— < -Z d
O -74
62 5L
R W f/ -IP
('s/
'L4 -4p
Gk sLc
FI s P sE
U' 7
40+
(Zoc'y-
(Lock-
Lj()
L 5%
0-+5
64 51.
FAL �9 5i
PS
V_4G
ASK
D•�{
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lb't
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c
6
Description Initial Repair System Other Factors (.194 6):
System Site Classification (.1948
):
Available Space (.1945) EvaluatedBy:
System T s) 6 06* Others Present.
Site LTAR 0 -
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