IPACHarnett County Department of Public Health
y
Authorized State Agent:: `� N,
The issuance of this permit by the Health Department in no way guarantees h� e
site is subject to revocation if the site plan, plat, or the intended use changes. The lmpin
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: -%J' I1r--, SEE ATTACHED SITE SKETCH
of other permits. The permit holder isresponsible for checking with appropriate governing bodies in meeting their requirements. This
" v Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: C.,5 LI PROPERTY LOCATION: P Po GG
SUBDIVISION LOT #
Facility Type: New E:1 Expansion ❑ Repair
Basement? EJ Yes 'TR,' No Basement Fixtures? E Yes XNo
Type of Wastewater System** "l I '=>Y-;:. T G (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) �
1 v RG-,Qer �- n r-1 (Repair)
Installation Requirements/Conditions Number of trenches Q,
Septic Tank Size N 0 d Q gallons Exact length of each trench 5 D feet Trench Spacing: 01 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (�,—� 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
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.
**If applicable: /understand the sy tem type .specified it different from the type specified on the application. /accept the rpecilcationf of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, slat or the intended use changes. The Construction Authorization shall not be transferred when there is a chanve in ownershin of the city Thk
Construction Authorization is soi ct tottcpmpliance avisions Laws and Rules for
Authorized State Agent:
Co
Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: 1
authorization Expiration Date:
Improvement Permit
A building permit
cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Pe/eC�G
ISSUED T0: r=4'��) 1
c. t.., t��;�
SUBDIVISION
LOT #
NEW'>< REPAIR El
M v D (3
EX ON ❑
} ^,C-7 �—
Site Improvements required prior
to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: Z �Llo auc;:' o
� -t;7d1
Projected Daily Flow: `S ®
GPD
Number of bedrooms:
Number of Occupants:
max
Basement ❑Yes ,X No
Pump Required: ❑Yes > �17NNo
❑ May be required based on
final location and elevations of facilities
Type of Water Supply: ElCommunity
ElPublic Well
Distance from well t C> 0 feet
Permit valid for: Five years
Permit conditions:
❑ No expiration
Authorized State Agent:: `� N,
The issuance of this permit by the Health Department in no way guarantees h� e
site is subject to revocation if the site plan, plat, or the intended use changes. The lmpin
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: -%J' I1r--, SEE ATTACHED SITE SKETCH
of other permits. The permit holder isresponsible for checking with appropriate governing bodies in meeting their requirements. This
" v Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: C.,5 LI PROPERTY LOCATION: P Po GG
SUBDIVISION LOT #
Facility Type: New E:1 Expansion ❑ Repair
Basement? EJ Yes 'TR,' No Basement Fixtures? E Yes XNo
Type of Wastewater System** "l I '=>Y-;:. T G (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) �
1 v RG-,Qer �- n r-1 (Repair)
Installation Requirements/Conditions Number of trenches Q,
Septic Tank Size N 0 d Q gallons Exact length of each trench 5 D feet Trench Spacing: 01 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: (�,—� 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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
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.
**If applicable: /understand the sy tem type .specified it different from the type specified on the application. /accept the rpecilcationf of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, slat or the intended use changes. The Construction Authorization shall not be transferred when there is a chanve in ownershin of the city Thk
Construction Authorization is soi ct tottcpmpliance avisions Laws and Rules for
Authorized State Agent:
Co
Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: 1
authorization Expiration Date:
Permit # Qi,� 52,`t -j
Harnett County Department of Public Health
Site Slietch
PROPERTY LOCATON:
ISSUEDTO: 2-D
SUBDIVISION LOT #
Authorized State Agent:
iM
Date: -?, 6� )
•
M
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: f�j4tl `� Design Flow (.1949):5 z
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual Well
Evaluation Method�Auger Boring El Pit ❑ Cut
Type of Wastewater.Sewage ❑ 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
L_ s
a
� s
Description Initial Repair System Other Factors (.1946):
Systerp Site Classification (1948)?-)
Available Space (.1945) Evaluated By:"
System T e(s) 'i r qk=D Others Present:
Site LTAR rb ,�