IPAC RHTE# /6 -s^- 21 ~2.(q./2 Harnett County Department of Public Health 26099
hDrove ent Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION:~g tt/Z) 2~
ISSUED TO,, 1Z l< Lm SUBDIVISION LOT #
NEW Wr REPAIR 13 EXPANSI01 ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Y oas:M,,.,F 7c5 Zb"Z',
Projected Daily Flow: 3(0_ GPD
Number of b~eddroo s: 9 Number of Occupants: _max
Basement L► No
Pump Required: YI,Z es ❑ No ❑ Ma 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: 5 Tll 1,1_d~/~'~ ~ 6-2) t~ ~12- / I-] No expiration
A a '7774Z°'.S- irk rs_1 L / oo 6 /u
Authorized State Date: /Z-11z1 f G SEE ATTACHED SITE SKETCH
The issuance of this permit by t Health Department in no way guarantees the issuance 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 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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 TO: AMA, f A
llZa. Y/ PROPERTY LOCATION: 14Z(p
SUBDIVISION LOT #
Facility Type: / I>
C( New ❑ Expansion ❑ Repair
Basement? C~ Yes El No Basement
Fixtures? L~[J Yes ❑ No
Type of Wastewater System**
+-a (Initial) Wastewater Flow: 3b0 GPD
(See note below, if applicable
U~GcItIS-nt ~z
'Repair
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size I 0v-0 gallons
Exact length of each trench /feet Trench Spacing: ` Feet on Center
Pump Tank Size t p f> o gallons
Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. ZQI 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. TDH vs.
GPM inches below pipe
Aggregate Depth: '2 inches above pipe
Conditions:
- LJ
1 W / inches total
p
**If applicable: /understand the system type specified is different from the type specified on the app/icatiom / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation 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 to 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 n Date: 12 H ` / 6
Construction Authorization Expiration Date: 2 / 5-
HTE# 90- 2~-2 Permit # 9
Harnett County Department of 'Vblic Health
Site Sketch
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health Property ID:
On-Site Wastewater Section Lot
File
SOI ISTTE EVALUATION Code:
for ON-SITE WASTEWATEIjSYSTTM
Owner Applicant:
Address Dato Evaluated:
Proposed Facility: i~rp Design Flow (.1949): Pmperty Size:
Location of Site: Property Recorded:
Wata Snppir. -Publ t: ❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method: get Boring ❑ Pit cut
Type of Wastewater. (Sewage ❑ Industrial Process C1 Mixed.
P
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F
301L MORPHOLOGY
OTHER
1
.1940
.1941
PROFR 8 PAi(TCORR
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Lamb ap
Haizm
.1941
9
Posidod
Depth
.1941
.1941
soil
.1$43
.1996
.194+
Prot11t1
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Coroieteneo
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soil
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Texture
Mlnm1o
Color
IN.
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Ma Factory (.1946)
Site Classification (.1948) ~
Evaluated Br.
Others Present: