IPACHTE# I -i I�j-'A18 6 Harnett County Department of Public Health 29734
Authorized State Agent.: ��\ \�iy�U5 Date: 10 9-S ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaramees the i f other permia. The permit holder is responsible for checking with appropriate goveming 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 provision 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, .1951, .1954, AM, .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 TO: S 8 \ E."I- '�> as zy � Li NO PROPERTY LOCATION: hlGa'1).l QA A24 GL1- j N�
, / SUBDIVISION �N1T6;" 0, S L a u GF LOT # Lf
Facility Type: 11 c \
ur AOSM6 New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�K No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 7.S 0/0 RGDUGSs 0 y S ygr M (Initial) Wastewater flow: 3CO GPD
(See note below, if applicable ❑)
1, RC-00C,;1on7 �/9, (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size s o0 v gallons Exact length of each trench 64 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 111Z inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: R. TDM vs. GPM
Conditions:
Trench Spacing: 1 Feet on Center
Soil Cover: L inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC 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 i filim type speciled is dilereat from the type spec led on the app/intron. / accept the rperifcationr o/ this permit
to revocation
use changes.
not be
Date:
tonstmrnon aumon:ahon IS SUbjee-1171reampbance with the rovisions of the Laws and Rules forSewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 10
uction Authorization Expiration Date: 10
Improvement Permit
A building permit cannot be issued with only an Improvement Pe�ryt
ISSUED TO: SQA GGf^LI
NEW REPAIR ❑
Q PROPERTY LOCATION: N C...,, ll,)., r L r s)
l�9si ) L—l� ON SUBDIVISION _\Sta\i6CA1L gvGlC LOT #
EXPANaSION Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: V) n" NkamC 13x6�
Proposed Wastewater System Type:2.4% REov L'4\0 FM
Projected Daily Flow: 3(= 0
GPD
Number of bedrooms: _ a
Number of Occupants: —G --max
Basement ❑YesNo
Pump Required: ❑Yes No
Type Water Supply: ❑
❑ May be required based on final location and elevati s of facilities
W
of Community
Permit
V Public .may( Well &yance from well —W1 feet Permit valid for. Five years
`b"zrs'w4
conditions:
❑ No expiration
Authorized State Agent.: ��\ \�iy�U5 Date: 10 9-S ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guaramees the i f other permia. The permit holder is responsible for checking with appropriate goveming 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 provision 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, .1951, .1954, AM, .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 TO: S 8 \ E."I- '�> as zy � Li NO PROPERTY LOCATION: hlGa'1).l QA A24 GL1- j N�
, / SUBDIVISION �N1T6;" 0, S L a u GF LOT # Lf
Facility Type: 11 c \
ur AOSM6 New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�K No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 7.S 0/0 RGDUGSs 0 y S ygr M (Initial) Wastewater flow: 3CO GPD
(See note below, if applicable ❑)
1, RC-00C,;1on7 �/9, (Repair)
Installation Requirements/Conditions Number of trenches 4
Septic Tank Size s o0 v gallons Exact length of each trench 64 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: 111Z inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: R. TDM vs. GPM
Conditions:
Trench Spacing: 1 Feet on Center
Soil Cover: L inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC 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 i filim type speciled is dilereat from the type spec led on the app/intron. / accept the rperifcationr o/ this permit
to revocation
use changes.
not be
Date:
tonstmrnon aumon:ahon IS SUbjee-1171reampbance with the rovisions of the Laws and Rules forSewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 10
uction Authorization Expiration Date: 10
NTE# l - 5-Z-,asa` -\1Z, -12
Permit # L}
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: C.a.71J `NA2VE 1—u)
ISSUED T0: SP G6L $A2CCJ L,tiDASUBDIVISION Hit E;A1L b vGk1 LOT #__
Authorized State Agent. Zj 79 `o Ll'4yL 1 oLKSpp(� Date: 10 I l7
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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:r3 g C ('e fry Design Flow (.1949):3 nJQ j
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual -❑ Well
Evaluation Method Aug Boring El pit El 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
o a�
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a�
SCL
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Description InitialRep it System Other Factors (.1946):
System' Site Classification (.I948).f�
Available Space 1.1945) V V Evaluated Byrd
System Type(s) /d Others Present: —
Site LTAR
9-�1 0-aA„c +- 95