IPACHTE# 4_-)-s-`�o�"il Harnett County Department of Public Health 29434
Authorized State Agent: ate: 3 17 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guamntees t uance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the no
use changes. The In ovement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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 .1958, .19SI, .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 T0: �2PHoa H NF NA 1 S� t �1 PROPERTY LOCATION: H1L),-iro,j GvLo f
SUBDIVISION NP, a Ki u LOT # 2.0
Facility Type: 5 q�9 Wy5 15 a0 5'New ❑ Expansion ❑ Repair
Basement? ❑ Yes �* No Basement Fixtures.? ❑ Yes �WNo
Type of Wastewater System** a 5��. RC D V CA k ftN L
(See note below, if applicable El) yr (Initial) Wastewater Flow: ii�C3 GPD
I
a -S 10
75 , (Repair)
Improvement Permit
Number of trenches 5
Septic Tank Size L o p v-) gallons
Exact length of each trench '-Z Cd feet
A building permit cannot be issued with only an Improvement Permitn
Trenches shall be installed on contour at a
[1
ISSUED T0:
v,"Q0pi
�A
)� PROPERTY LOCATION: 11 )LL Md 1.l C7rw j G C..p,
Q ScyzoE
(Trench bottoms shall be level to +/_I/4"
NEW
,
REPAIR ❑
hph 6UBDIVISION RiAaC�loa� pus
LOT#
Type of Structure:
ExPy1NSI0N ❑ Site Improvements required prior to Construction Authorization Issuance:
5cZ'O (4-15 x53:
Proposed Wastewater
System Ty e: S°lo CDS c:c�o
L4 O
Projected Daily Flow:
GPD
Number of bedrooms:
1-i
Number of Occupants: _max
Basement ❑Yes
'C51cNo
Pump Required: []Yes �i0
❑ May be required based on final location and elevations of facilities
Type of Water Supply:
❑ Community
_Ek Public ❑ Well Distance from well feet Permit valid for.
Five years
Permit conditions:
❑ No expiration
Authorized State Agent: ate: 3 17 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guamntees t uance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the no
use changes. The In ovement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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 .1958, .19SI, .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 T0: �2PHoa H NF NA 1 S� t �1 PROPERTY LOCATION: H1L),-iro,j GvLo f
SUBDIVISION NP, a Ki u LOT # 2.0
Facility Type: 5 q�9 Wy5 15 a0 5'New ❑ Expansion ❑ Repair
Basement? ❑ Yes �* No Basement Fixtures.? ❑ Yes �WNo
Type of Wastewater System** a 5��. RC D V CA k ftN L
(See note below, if applicable El) yr (Initial) Wastewater Flow: ii�C3 GPD
I
a -S 10
75 , (Repair)
Installation Requirements/Conditions
Number of trenches 5
Septic Tank Size L o p v-) gallons
Exact length of each trench '-Z Cd feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of.. 9'3 O inches
(Trench bottoms shall be level to +/_I/4"
n all directions)
Pump Requirements: h. TDM vs.
GPM
Conditions:
Trench Spacin : 01 Feet on Center
Soil Cover. �� inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
**If applicable / andeti and the t}rtem type rpeciled it different /tom the type rpeciled on the app/icadon. / aqpt the rpecibcationr of thir permit.
„.0 wmuuamn uumon oect ro revaneon it the site plan, plat or the intended use changes. The Construction Authorization shall not be transfer
Construction Authorization is subject to comp) a�rovisiom of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this
Authorized State Agent:\9�zr15 Date: 3
Construction Authorization Expiration Date:
Date: _
there is a
e in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# 1 —) —5 —y O`1L1'% Permit # 11'3y
Harnett County llepartment of Public Health
Site Sketch
ISSUED TO:
Authorized
Date: 3 j a:-)
Sco i
LOT #
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: L`Q Design Flow(. 1949):
Location of Site: Property Recorded:
Water Supply: WPublicEl Individual ❑ Well
Evaluation Method:Af Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: -J� Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
.1940
Other Factors (.1946):
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Site Classification (.1948)
.
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
!,g
7
a
o 3>1
G 5
Vel r5� lip
Description Initial
Repair System
Other Factors (.1946):
S ste
Site Classification (.1948)
.
Available Space (.1945)
Evaluated By:
System T e(s)
' J')
Others Present: —
Site LIAR s
v;o? Ci 11 --so