IPACHTE# ►7-5- Harnett County Department of Public Health 29700
Imarovement Permit
Authorized State Agent.: :!S; Date:8 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees s tam of other permits, The permit holder isrespo ubla 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 pmvisions 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 .1958, .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: Gapng-ZV-360„r PROPERTY LOCATION: RccnTar_—. ow 1� Su- Oa
SUBDIVISION LOT # 30
Facility Type: SF9 x509 New ❑ Expansion ❑ Repair
Basement? ❑ Yes �K No Basement Fixtures! ❑ Yes )i(No
Type of Wastewater System" `�k-SOJI RrID U C 11 O N S` 5 TQ -NN (Initial) Wastewater Flow:LA% GPD
(See note below, if applicable ❑)
X5710 2$p SyS Lk'V mE) (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size 10oG gallons Exact length of each trench 7S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. C,-117 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 system oe specified it Merem from the type spec/bed on the application. l accept the specAcationr of this permit
Owner/Legal Representative Signature: Date
This Construction Authorization is o revocation if the site plan, Alar, or the intended use changes. The construction Authonzation shall not be tmnsfemed when there is a change in ownership of the site. This
Construction Authorization i to compli a isioms of the laws and Rule: for Sewage treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 9&1i Date: B a.S
-thwaction Authorization Expiration Date: I K
A building permit cannot be issued with only gra Improvement Permit
6rNlali"itIt �i, Qo.�
p
ISSUED TO: GA2�/ �0 11bOn7
PROPERTY LOCATION: r L
xdc�t3 SUBDIVISION Ga -r---4 C
LOT #3�
NEW REPAIR ❑ ENPANkON
-!D (Ly)- `o
❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SV "'
)
Proposed Wastewater System Type: 90s70 �69JCXstfasSys4CM
Projected Daily Flow: 611'0 GPD
Number of bedrooms: 14 Number of Occupants: �_ _max
Basement ❑Yes '�KNO
Pump Required: ❑Yes ;:E4o ❑ 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.: :!S; Date:8 7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees s tam of other permits, The permit holder isrespo ubla 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 pmvisions 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 .1958, .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: Gapng-ZV-360„r PROPERTY LOCATION: RccnTar_—. ow 1� Su- Oa
SUBDIVISION LOT # 30
Facility Type: SF9 x509 New ❑ Expansion ❑ Repair
Basement? ❑ Yes �K No Basement Fixtures! ❑ Yes )i(No
Type of Wastewater System" `�k-SOJI RrID U C 11 O N S` 5 TQ -NN (Initial) Wastewater Flow:LA% GPD
(See note below, if applicable ❑)
X5710 2$p SyS Lk'V mE) (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size 10oG gallons Exact length of each trench 7S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. C,-117 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 system oe specified it Merem from the type spec/bed on the application. l accept the specAcationr of this permit
Owner/Legal Representative Signature: Date
This Construction Authorization is o revocation if the site plan, Alar, or the intended use changes. The construction Authonzation shall not be tmnsfemed when there is a change in ownership of the site. This
Construction Authorization i to compli a isioms of the laws and Rule: for Sewage treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 9&1i Date: B a.S
-thwaction Authorization Expiration Date: I K
HTE# �-% `S'�-12b3�1 Permit # a6-) 00
Harnett County Department of Public Health
Site Sketch
n PROPERTY LOCATON: Ri=11%) N CT O N "I "l- Z Q -
ISSUED T0: Go4,—"O nt:,g SUBDIVISION LOT # ZO
Authorized State Agent: Date: '81a6 j I 1-1
2Grn1n16S0.13 Q2,Va
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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'3�aDQ"" Design Flow (.1949): t.11
Location of Site: Property Recorded: J
Water Supply: Public❑ Individual F] Well
Evaluation Method Auger B ing [3Pit E) cut
Type of Wastewater:]] Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope%
Horimn
Depth
(NJ
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
L
1 '96
sg x sc�
`n s5/;�
P5
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): B i
Available Space .1945)Evaluated Byq <
S sterni s) nG r) PV Others Present: —
Site LTAR • L^ . Lr