IPACHTE# I1-- 1-,)- Harnett County Department of Public Health 29749
Authorized State Agent: Date: t I I 1 )l7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i aA`oI 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 taws and Rules Mr Sewage Treatment and Disposal and ro conditions of this permit.
Construction Authorization
Required for Building Permit)
The construction and insm8ation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inns this permit and shall be met. Systems shall be installed io accordance
with the attached system layout.
ISSUED TO: _ 1 VG-t1.C.o. J 1^,e PROPERTY LOCATION: I—yGas QD
S N6G cwATFit �_
Facility Type: SUBDIVISION LOT # `-'C��S�'� 6� New ❑ Expansion ❑ Repair
Basement? ❑ Yes _-9 No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" °
a'SleC-.bVcsf lu e,l S-/o'SE.t'\ (Initial) Wastewater Flow: 3_ C�) GPD
(See note below, if applicable ❑)
Qu vnP—To a,S°l. 9,r__0SX5 (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size t OO o gallons Exact length of each trench )!g O feet Trench Spacing �I Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: aazi inches
Maximum Trench Depth of: 3 i 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: h. TDH vs. GPM
Conditions:
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
"If applicable /understand the ryrtem type speciled it different from the type speciled on the app/icadavc / anept the .rpecilcati mr of this permit
Date:
cors sonstructon An n n sutKct to revocation if the site plan, play 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 ',ce with.t provisions of the Laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent Vy 7! \�5 Date: i� a5 1t
Authorization Expiration Date: t�
Improvement Permit
A building permit cannot be issued with only anlin rovement Permit
ISSUED TO: LV GgxGo cY
PROPERTY LOCATION: W i_ LVGA3 QD
i N L SUBDIVISION F= -r4 cy ry SFQ LOT #
NEW 1K REPAIR ❑
EYJNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: g T- 6
Proposed Wastewater System Type:
e v sc�ldrsS�9t� r
Projected Daily flow. 'j�0
GPD
Number of bedrooms: '�
Nu mber of Occupants: max
Basement ❑Yes 'A No
Pump Required: ❑Yes ;�< No
❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
_�K Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions:
❑ No expiration
Authorized State Agent: Date: t I I 1 )l7 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i aA`oI 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 taws and Rules Mr Sewage Treatment and Disposal and ro conditions of this permit.
Construction Authorization
Required for Building Permit)
The construction and insm8ation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references inns this permit and shall be met. Systems shall be installed io accordance
with the attached system layout.
ISSUED TO: _ 1 VG-t1.C.o. J 1^,e PROPERTY LOCATION: I—yGas QD
S N6G cwATFit �_
Facility Type: SUBDIVISION LOT # `-'C��S�'� 6� New ❑ Expansion ❑ Repair
Basement? ❑ Yes _-9 No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" °
a'SleC-.bVcsf lu e,l S-/o'SE.t'\ (Initial) Wastewater Flow: 3_ C�) GPD
(See note below, if applicable ❑)
Qu vnP—To a,S°l. 9,r__0SX5 (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size t OO o gallons Exact length of each trench )!g O feet Trench Spacing �I Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: aazi inches
Maximum Trench Depth of: 3 i 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: h. TDH vs. GPM
Conditions:
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
"If applicable /understand the ryrtem type speciled it different from the type speciled on the app/icadavc / anept the .rpecilcati mr of this permit
Date:
cors sonstructon An n n sutKct to revocation if the site plan, play 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 ',ce with.t provisions of the Laws and Rules for Sewage Treatment and Disposal and m the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent Vy 7! \�5 Date: i� a5 1t
Authorization Expiration Date: t�
NTE# L-7-5—"" Permit # 9
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: W iii L-vcss Rh
ISSUED T0: co iN c SUBDIVISION s Nsfi-surxcev- LOT # 5f3
Authorized State Agent. uv OLFS Date: N �l-7
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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:
Design Flow (.1949):
Location of Site:
Property Recorded:
Water Supply:
❑Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ 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
00
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minendogy
.1942
Soil
Wetness/
Color
.1943
Soil
D th (IN.)
.1956
Salim
Class
.1944
Restr
Horiz
3a-�$
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space 1.1945 Evaluated By:
System Type(s) Others Present:
Site LTAR