IPACHTE# i3-s 3039 L Harnett County Department of Public Health
Authorized State Agent:: �� Date: ! j a 9 / 1 cv7 SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no way guarantees the issuance of 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 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: 1. Q- -f7 PROPERTY LOCATION: A (o P �, (
SUBDIVISION
facility Type: . 5—F �) qr X J—i ZrNew ❑ Expansion ❑ Repair
Basement? ❑ Yes 2'' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** d S— L =J —r — (Initial) Wastewater Flow:
(See note below, if applicable ❑)
(Repair)
Improvement Permit
27149
Septic Tank Size /000 gallons
A building permit cannot be issued with only an Improvemf nt Permit
Pump Tank Size gallons
Trenches shall be installed on contour at a
2en� S.
PROPERTY LOCATION:
(Trench bottoms shall be level to +/ -1/4"
ISSUED TO: G
in all directions)
SUBDIVISION
LOT #
NEW C'
REPAIR ❑ EXPANSION ❑
Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF 11A)4 S-i
Proposed Wastewater System Type: A S ;)� 1&-4 '.) t✓f = av' f
rfe
Projected Daily Flow:
t/8 0 GPD
Number of bedrooms:
L/ Number of Occupants:
max
Basement []Yes
P"No
Pump Required: Des
IRINo ❑ May be required based on
final location and elevations of facilities
Type of Water Supply:
❑ Community ❑ Public 9-Well
Distance from well %0 feet Permit valid for:
wive years
Permit conditions:
❑ No expiration
Authorized State Agent:: �� Date: ! j a 9 / 1 cv7 SEE ATTACHED SITE SKETCH
The issuance of this permit by ealth Department in no way guarantees the issuance of 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 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: 1. Q- -f7 PROPERTY LOCATION: A (o P �, (
SUBDIVISION
facility Type: . 5—F �) qr X J—i ZrNew ❑ Expansion ❑ Repair
Basement? ❑ Yes 2'' No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System ** d S— L =J —r — (Initial) Wastewater Flow:
(See note below, if applicable ❑)
Conditions:
LOT #
Y 8 o GPD
Trench Spacing: 9 Feet on Center
Soil Cover: "t inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
inches total
f
J��
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.
* *If applicable: /understand the system type speciped is different from the type speciped on the app /ication. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, 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 subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this /permit ltt Al IALHtV lilt MILH
Authorized State Agent: .�a 2C� Date: flay /2- cl-7
Construction Authorization Expiration Date: ar ,jai
(Repair)
Installation Requirements /Conditions
Number of trenches
Septic Tank Size /000 gallons
Exact length of each trench o71/0 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: /6 - a V inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
LOT #
Y 8 o GPD
Trench Spacing: 9 Feet on Center
Soil Cover: "t inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
inches total
f
J��
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.
* *If applicable: /understand the system type speciped is different from the type speciped on the app /ication. / accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, 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 subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this /permit ltt Al IALHtV lilt MILH
Authorized State Agent: .�a 2C� Date: flay /2- cl-7
Construction Authorization Expiration Date: ar ,jai
HTE# t 3 Permit #
Hcartlett Conlity I)ep-11-tillent of Public l4ecalth
Site Sketch
PROPERTY LOCATON: t
ISSUED TO: SUBDIVISION LOT
Authorized State Agent: Date: /49/401.7
ip
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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: /,,, 12-,:7
Address: Date Evaluated:'
Proposed Facility: Design Flow ( 1949):
Location of Site: Property Recorded:
Water Supply: El Public[] Individual ell
Evaluation Method: Auger Borg Fl Pit El cut
Type of Wastewater: [ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
„t'
y
° -xi-
A)L
v�N'rl'o
/0Yn��,
6-L
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): 17j
Evaluated By: 6,,
Others Present: N«t, 1 , _41
Available Space (.1945)
System Type(s)
Site LTAR
„t'