IPACHTE# 1-7' S `i I Harnett County Department of Public Health 29368
Imarovement Permit
Authorized State Ageof'. (�j✓✓ — Date: H -" 1 � SEE ATTACHED SITE SKETCH
The issuance of this permit by thO(yr'ealth Department in no way guarzntees the issuance of otAer permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation if t e 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 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 .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 aaordan(e
with the attached system layout.
ISSUED TO: "NA)ef"IifAuGB JP _GZ�C PROPERTY LOCATION: nU 42-97 146
r SUBDIVISION _ /leu c: -t r jam - C LOT #
Facility Type: .5FrI 9 New � Expansion ❑ Regir
Basement? ❑ Yes No Basement Fixtures? El Yes Lid No /
Type of Wastewater System** %moo S,a574T� itial) Wastewater Flow: L461:> GPD
(See note below, if applicable ❑)
C.a Z —' (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size gallons Exact length of each trench 5—D feet Trench Spacing: — Feet on Center
Pump Tank Size 12,e�O gallons Trenches shall be installed on contour at a Soil Cover: inches nt
Maximum Trench Depth of: inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36' above the trench bottom)
in all directions)
Pump Requirements: ft TON vs. GPM 51, inches below pipe
Aggregate Depth: ---inches above pipe
Conditions: 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: / understand the ststem type .specified is different from the type spedfied on the app/icatioa / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is su6jen to revocation if the she plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the sire. This
construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal
laand
dtto the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State � enc/% ` Date: C iZ�i
i Construction Authorization Expiration Date: `1-71"Z- — ZZ
A building permit cannot be issued with only an Improvement Permit
�/ �/�
L/ PROPERTY LOCATION: (/ 2
/L >
ISSUED TO: /r Nn/
C a% Sya
tLel9N/z.— �rG SUBDIVISION e�rtr,
LOT #
NEW
REPAIR_
EXPANSION ❑ Site Improvers nts required prior
to Construction Authorization Issuance:
Type of Structure:
CY
Proposed Wastewater System Type: 25*�ln
Projected Daily Flow:
t'1 Q,O
GPD
Number of bedrooms:
L11
Number of Occupants: max
Basement []Yes
Pump Required: ❑Yes
Type of Water Supply:
❑ No
❑ Community
l7fMMa *. required based on final location and elevations of facilities
2r Public ❑ Well Distance from well feet
Permit valid for. 2 Fne years
Permit conditions:
❑ No expiration
Authorized State Ageof'. (�j✓✓ — Date: H -" 1 � SEE ATTACHED SITE SKETCH
The issuance of this permit by thO(yr'ealth Department in no way guarzntees the issuance of otAer permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation if t e 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 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 .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 aaordan(e
with the attached system layout.
ISSUED TO: "NA)ef"IifAuGB JP _GZ�C PROPERTY LOCATION: nU 42-97 146
r SUBDIVISION _ /leu c: -t r jam - C LOT #
Facility Type: .5FrI 9 New � Expansion ❑ Regir
Basement? ❑ Yes No Basement Fixtures? El Yes Lid No /
Type of Wastewater System** %moo S,a574T� itial) Wastewater Flow: L461:> GPD
(See note below, if applicable ❑)
C.a Z —' (Repair)
Installation Requirements/Conditions Number of trenches 2
Septic Tank Size gallons Exact length of each trench 5—D feet Trench Spacing: — Feet on Center
Pump Tank Size 12,e�O gallons Trenches shall be installed on contour at a Soil Cover: inches nt
Maximum Trench Depth of: inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36' above the trench bottom)
in all directions)
Pump Requirements: ft TON vs. GPM 51, inches below pipe
Aggregate Depth: ---inches above pipe
Conditions: 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: / understand the ststem type .specified is different from the type spedfied on the app/icatioa / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is su6jen to revocation if the she plan, plat, or the intended use changes. The construction Authorization shall not be transferred when there is a change in ownership of the sire. This
construction Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal
laand
dtto the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State � enc/% ` Date: C iZ�i
i Construction Authorization Expiration Date: `1-71"Z- — ZZ
HTE# 17—:5-- y/O/ Permit #
Harnett County Department of Aiblic Health
Site Sketch
PROPERTY LOCATO • y G /l�i� /G/,,
ISSUED TO: �(�N iffi�_ %_( / SUBDIVISION / LOT #
Authorized State ent C //%(LJh�s Date:—��
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: `7" `{ V' v
Proposed Facility- Design Flow (.1949):
Location of Site:Property Recorded:
Water Supply: Av—,off / Public❑ Individual ❑ Well
Evaluation Method:[] Auger B ng 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
Minemlogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
11
X14 7 �
34
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR