IPACHTE# I:Z— — goyq Harnett County Department of Public Health 29356
Authorized Stat gent: /f Date: L//Z-/ SEE ATTACHED SITE SKETCH
The issuance of this pe a Hea Department in no way guarantees the issuance of other permit. The permit holder is respo with appropriate governing bodies in meeting their requirements . This
site is subject to revuali if th 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
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .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:®lv PROPERTY LOCATION: 45j1d
SUBDIVISIOLOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ N
Type of Wastewater System'* �+�,nOti o M 41N c�A 7 "nitial) Wastewater Flow: -f>(aAn GPD
(See note below, if applicable 11,)1 I � A
Installation Requirements/Conditions Number of trenches
Septic Tank Size 6-
7� gallons Exact length of each trench 3y a feet
Pump Tank Size I QdO gallons Trenches shall be installed on contour jjt a
Maximum Trench Depth of. / R inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench
Spacing: Feet on Center
Soil Cover. 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
s above pipe
nche
inches total
**If applicable: / understand the system type specified is diherent bom the type spec/fed on the app/ication. / accept the specilcatiom o/thir 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
tonatrucnon Authorization is subject to compliance with the provisions oL the Laws and Rules for Sewage Treatment and Disposal and no the conditions of this permit SILL AI IALHLU lift SKLILN
Authorized State ent: Date: ti —r Z —/
Construction Authorization Expiration Date:
Improvement Permit
A building permit cannot be issued with only an Improvement Pe it
PROPERTY LOCATIO !i"F-ss+
ISSUED TO:
dA4'-S /31b6
6;P�/SUBDIVISION
LOT #
NEW Y
REPAIR ❑
EXPANSION 0 Site Improvements required prior to Comfluction Authorization Issuance:
Type of Structure:
Z fz+
Proposed Wastewater System Type: I
it-L*��/(1d �J
Projected Daily Flow:
-3C_a_to-
GPD
Number of bedrooms:
Number of Occupants: max
Basement ❑Yes
No
Pump Required: es
❑ No
❑Mayje��equired based on final location and elevations of facilities
/
Type of Water Supply:
EJ Community
A Public ❑ Well Distance from well feet Permit valid (or.
7/Five years
Permit conditions:
❑ No expiration
Authorized Stat gent: /f Date: L//Z-/ SEE ATTACHED SITE SKETCH
The issuance of this pe a Hea Department in no way guarantees the issuance of other permit. The permit holder is respo with appropriate governing bodies in meeting their requirements . This
site is subject to revuali if th 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
squired for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .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:®lv PROPERTY LOCATION: 45j1d
SUBDIVISIOLOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ N
Type of Wastewater System'* �+�,nOti o M 41N c�A 7 "nitial) Wastewater Flow: -f>(aAn GPD
(See note below, if applicable 11,)1 I � A
Installation Requirements/Conditions Number of trenches
Septic Tank Size 6-
7� gallons Exact length of each trench 3y a feet
Pump Tank Size I QdO gallons Trenches shall be installed on contour jjt a
Maximum Trench Depth of. / R inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench
Spacing: Feet on Center
Soil Cover. 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
s above pipe
nche
inches total
**If applicable: / understand the system type specified is diherent bom the type spec/fed on the app/ication. / accept the specilcatiom o/thir 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
tonatrucnon Authorization is subject to compliance with the provisions oL the Laws and Rules for Sewage Treatment and Disposal and no the conditions of this permit SILL AI IALHLU lift SKLILN
Authorized State ent: Date: ti —r Z —/
Construction Authorization Expiration Date:
HTE# No4-7R Permit # q 3 5 to
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATONi'S1-0� e -,s `24J
ISSUED TO: &44 lJnt 5 PI DL SUBDIVISION LOT #
Authorized State Ag ,� � � Date: (4-12,-17
/U0 Wer 6�- lis���b
a
ST&.Cr
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
/y
Owner: Applicant: V ,'
Address: " / Date Evaluated:
Proposed Facility: .4g� Design Flow (.1949): (400Location of Site: c+ Property Recorded:
Water Supply: [Public❑ Individual ❑ Well
Evaluation Method:[�-riuger Bo - g ❑ 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
<AR
.1941
Structure!
Texture
.1941
Consistence
Mineralogy.r
.1942
Soil
Wetness/
Color
.1943.1956
Soil
e th(IN.
Depth (IN .
Sapro
Class
.1944
Restr
Horiz
1 1'
y
y�r
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
Available Space (.1945) Evaluated By
S stem T e(s) Others Present:
Site LTAR