IPACHTE#Iq—SLi335)s Harnett County Department of Public Health 30021
Authorized State Agent.: \ � 5 Date: 3 a h ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department7intendZd�use
arantees "na of ether permits. The permit holder is responsibe for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or tchanges. The mpmwment 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, AM, .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: PROPERTY LOCATION: P091Li Q
S vape C50 x SUBDIVISION LOT #
Facility Type: Ur New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Q No
Type of Wastewater System** a.So/o RCov L)a tyy5; 6M (Initial) Wastewater Flow: '40 Q GPD
(See note below, if applicable ❑)
'�.S`�w
Improvement Permit
Installation Requirements/Conditions
Number of trenches QL
A building permit cannot be issued with only an Improvement Permit
Exact length of each trench 50 feet
ISSUED TO: 5 Q.<V- OQO,:"
PROPERTY LOCATION: Po@LP,2 O2_
G-1 o. I- oURS9hna
Maximum Trench Depth of-, 36 inches
NEWN REPAIR ❑
SUBDIVISION LOT #
EX NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sv-)cfe (53
6-7 •�
Pump Requirements: ft. TDM vs.
Proposed Wastewater System Ty e: Yc�w:;DV OT 10 a
`c%96-1
Projected Daily Flow: aW
GIRD
GPD paw0 O 16Eg
Number of bedrooms: —
Number of Occupants: rc max
Basement Dyes No
Pump Required: ❑Yes No
❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community
X Public ❑ Well Distance from well feet Permit valid for:
Five years
Permit conditions:
❑ No expiration
Authorized State Agent.: \ � 5 Date: 3 a h ) SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department7intendZd�use
arantees "na of ether permits. The permit holder is responsibe for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or tchanges. The mpmwment 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, AM, .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: PROPERTY LOCATION: P091Li Q
S vape C50 x SUBDIVISION LOT #
Facility Type: Ur New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Q No
Type of Wastewater System** a.So/o RCov L)a tyy5; 6M (Initial) Wastewater Flow: '40 Q GPD
(See note below, if applicable ❑)
'�.S`�w
iZ6�• SSS . (Repair)
Installation Requirements/Conditions
Number of trenches QL
Septic Tank Size 10 O d gallons
Exact length of each trench 50 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of-, 36 inches
(Trench bottoms shall be level to +/-1/4"
n all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover.' 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
n applicable / understand the ryxiem type rpecifed it different from the type spectfed on the app/intron. / accept the Jpeti,6iarionr of this permit
This construction Authom
construction Authorization
Authorized State Agent:
or the intended use
of the taws and Rules for Sewage Treatment and
Authorization
Date:
nation shall not be transferred when there h
and m the conditions of this permit
Date: 3 ,
Expiration Date: 3 3e1 Ia
! in ownership of the site. This
SEE ATTACHED SITE SKETCH
HTE# G 'b" 5-4351
Permit # 3cx2,)
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: POPLgq_, DcZ
ISSUED TO: CJ r, MG—Sg1 Q>L,DN . . SUBDIVISION LOT #
Authorized State Agent oti JAY Date: ly
ow, 0L
�0' LIN ES
y-Ir/'J
Y
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: a
Proposed Facility. > —1L r-"_0 Design Flow (.1949): 2.Co`
Location of Site: Property Recorded:
Water Supply: 0 Public❑ Individual ❑ Well
Evaluation Method:Au er Boring ElPit El cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
�5
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
3c-z11S
�x sGt
Fye s$�vP
t'S
o-sd
s
vR) 1 SI
3Q-LS6
�1L st,�
4-'�, sS,uP
PSS
Description initial Repair System Other Factors (.1946):
S ste
ASvailab(.1945) Site Classification (.1948):
�f
stem Evaluated By:
9-9
Site LTAR Others Present:
.{ , .E