IPACAuthorized State Agent:: �� hl Date: 6 )� I Y1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issue of other permits. The permit holder is responuhle for checking with appropriate governing 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 lam and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements o1 Rules .1950, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: I—t^eobe;/ Vt�W-t"O- PROPERTY LOCATION:s- q -LE C -A
SUBDIVISION LOT #
Facility Type: M Ar,, • �orvaC�f'� " XNew ❑ Expansion ❑ Repair
Basement? ❑ Yes �No Basement Fixtures? ❑ Yeso
Type of Wastewater System" ZSR/v REo\iCA 10 j ySTetr (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) o
'eo' 'y5 • (Repair)
Installation Requirements/Conditions
29536
HTE# I-i-S--LI)t-n q
Harnett
County Department of Public Health
Trenches shall be installed on contour at a
Maximum Trench Depth of \'Q6 inches
Improvement Permit
(Trench bottoms shall be level to +/-1/4"
A building permit cannot be issued with only an Improvement Permit
L_2.�-F2C-.l `--TlQQGsi 14
Pump Requirements: ft. TDM vs.
L �R�cL2P.CL.
PROPERTY LOCATION:
ISSUED T0: 9 •.r ob6�
SUBDIVISION
LOT #
NEW REPAIR ❑
EXPANSION
L6'4 'b�
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: F'1+v a • 1 to s_
Proposed Wastewater System Type: QLS'/o �C.tDUC%a5
tl Sy En.
Projected Daily Flow: 3 `b0
GPD
Number of bedrooms: 3
Number of Occupants:
max
Basement ❑Yes XNo
Pump Required: ❑Yes �,No
❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
>� Public ❑
Well Distance from well feet Permit valid for:
Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: �� hl Date: 6 )� I Y1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issue of other permits. The permit holder is responuhle for checking with appropriate governing 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 lam and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements o1 Rules .1950, .1953, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: I—t^eobe;/ Vt�W-t"O- PROPERTY LOCATION:s- q -LE C -A
SUBDIVISION LOT #
Facility Type: M Ar,, • �orvaC�f'� " XNew ❑ Expansion ❑ Repair
Basement? ❑ Yes �No Basement Fixtures? ❑ Yeso
Type of Wastewater System" ZSR/v REo\iCA 10 j ySTetr (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) o
Conditions:
Trench Spacing: Feet on Center
Soil Cover. 6 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 SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
"'If applicable: / understand the tyrtevn type speciled it different fmm the type cpealed on the app/icatioa / accept the specif'catioar of thin permit
Owner/Legal Representative Signature: Date
This Concocts is suhjea to revocation if the site pian, plat or the intended use changes. The construction Authorization shall we be transferred when there is a change in ownership of the site. This
Construction Authorization is s belt to cam it revisions of the Lam and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: r.
'Chstruction Authorization Expiration Date: CJ -7 12P,
'eo' 'y5 • (Repair)
Installation Requirements/Conditions
Number of trenches 4
Septic Tank Size t e, ca gallons
Exact length of each trench °t0 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of \'Q6 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. 6 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 SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
"'If applicable: / understand the tyrtevn type speciled it different fmm the type cpealed on the app/icatioa / accept the specif'catioar of thin permit
Owner/Legal Representative Signature: Date
This Concocts is suhjea to revocation if the site pian, plat or the intended use changes. The construction Authorization shall we be transferred when there is a change in ownership of the site. This
Construction Authorization is s belt to cam it revisions of the Lam and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: r.
'Chstruction Authorization Expiration Date: CJ -7 12P,
HTE# 1-7"S-Li14ic1 Permit# @.9536
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: LP -PF LCC (LN uU Q GA 'ky
ISSUED T0: Lt Np5c. �PUCUAa_ /( SUBDIVISION LOT #
Authorized State Agent: TO -V.=T1 Date: 6�
6
I I 1'11
a1ipo
a I �
-
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):
Location of Site: Property Recorded:
Water Supply: -Public[] Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: 'R 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
Stmcture/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth(IN .)
Sapro
Class
.1944
Restr
Horiz
1
LS
5
--N)A
G 5 L
Vrn I'z'
-3 0
G 5 L
vii
3
sgx ct
�& she
�
.3
G
77T� -5
Description Initial Repair System Other Factors (.1946):
System/ Site Classification (.1948):
Available S ace (.1945) Evaluated By: tai
System Type(s) s / R.GD Others Present:
Site LTAR i . ys