IPACHTE#Q S a SCLA Harnett County Department Public Health
2 6 9 7 6
r ve et Permit
Authorized State Agent:: Date: ~N Y~~' SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o rmits. The permit holder is respdnsible 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: CNN tv~s~ 1--P"KC) v . PROPERTY LOCATION: ~)uctsc~t;y Q-- ?
SUBDIVISION '-.os O qk-G LOT # 7,
Facility Type: sf Q c~6~?` S--' New ❑ Expansion ❑ Repair
Basement? ❑ Yesl No Basement Fixtures? ❑ Yes 'XNo
Type of Wastewater System** pv f * T a C4)rAq Grr) ®N P.L. (Initial) Wastewater Flow: L' 3 GPD
(See note below, if applicable
Pu:L' c Co NN V--T,,i» c' W fkL- (Repair)
Installation Requirements/Conditions Number of trenches 1-~
Septic Tank Size ® O cB gallons Exact length of each trench 6-0 feet Trench Spacing: Feet on Center
Pump Tank Size e o Q) C1 gallons Trenches shall be installed on contour at a Soil Cover: `azj inches
Maximum Trench Depth of: ',N 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
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
12~ inches total
i Tcp LINES (INCLUDING IRIGATIn a,A"ST RE ]OFT. FROM ANY PART F SEPTIC SYSTEM OR REPAIR AREA.
J JTIES ALLOWED IN INITIAL. Go; 'AIR RAIN FIELD AREA.
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Repr tive Signature.. Date:
This Construction Authorization is subject to ation if the sit an, 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 stt>,complian ith visio si Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Co u ' n Authorization Expiration Date:
HTE# l-)= E-'APermit DC
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Department of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
On-Site Wastewater Section Property ID:
Lot
SOIL/SITE EVALUATION File
for ON-SITE WA ST Code:
EWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: L_'~W;;0`bC10- Design Flow (.1949): LN'~ ®r' Property Size:
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Methoduge1 Bo g [3 Spring El Other
Type of Wastewater: El Pit ❑ Cut
Sewage ❑ Industrial Process
❑ Mixed
P
R
O
F SOIL MORPHOLOGY
1
.1940
.1941
OTHER
L
Landscape
Horizon
PR
OFILE FACTORS
E
Position/
Depth .1941
1941
.1942
#
Slope %
(In.)
Structure/ Consistence
soil
Wetness/
.1943
•1956
Texture Mineralo
Color
So!
Sapro
D
3
th IN. Class
nk-
T
6 ~
Description
AR
v "1
Initial Re it System Other Factors (.1946):
S ste Site Classification(. 1948):
Evaluated By:
rr Others Present:
.1944 Profile
Restr Class
Hon, & LTAR
F5 ?
s