IPACHTE# IS -6-4 3330"1 Harnett County Department of Public Health 29893
Imarovement Permit
A building permit cannot be issued with only an Improvement Permit 5 2 L OC-ni6
(a l PROPERTY LOCATION: 3 S GI c ce+�Fl (A Dl S{z���
ISSUED TO: ,C—c"e xt 40W -t' inG SUBDIVISION C>�e Ccx-.� LOT # OV -
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: &YL X .34Z5 .S s
Proposed Wastewater System Type: !Le.Jvc E;.or� 5,s .
Projected Daily Flow: '3raa GPD
Number of bedrooms: �3 Number of Occupants: max
Ra<omnnt f—lYoc 2'np
Pump Required: []Yes
Type of Water Supply:
Permit conditions:
❑ No f aJ T1 y bei' �d based on final location and elevations of facilities
❑ CommunityPCS ublic ❑ Well Distance from well feet
Permit valid for.
le- Mlieyears
❑ No expiration
Authorized State Agent:: Date: 03lo1 ( e9 61P SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health 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 m 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
Reouired for Building Permit
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .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
5,-- L co6
ISSUED TO: -v1ohn05 . Src— PROPERTY LOCATION: 3 S U /) Ck. (GI J— 66TV �
SUBDIVISION Cs .ar-dyc- G- « LOT #
facility Type: Jit �a x• 5 Y 5 T"�> ED---Ite-w- ❑ Expansion ❑ Repair
Basement? ❑ Yes GYM Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" Q6-% Rc aoc o c, S 5 5 (Initial) Wastewater Flow: 3G U GPD
(See note below, if applicable ❑)
a5%v /Lc_d xL ' o rN S s s, (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size I(X`I'•i gallons Exact length of each trench X46 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: PO inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on (enter
Soil Cover: rr� 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.
&iA inches below pipe
rJP inches above pipe
f--i� inches total
"If applicable: / underztand the sotem type roerih'ed it different from the type rpedled on the app/kation. / accept the cperihtationr of this permit.
Dwner/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. SEE ATTACHED SITE SKETCH
Authorized State Agent: % S Date: V 3 / o I ) 9M
Construction Authorization Expiration Date: 03 jot I ac*? 3
1J
HTE# 1�5-5-LI333a
Permit #
Q�) & `33
Harnett County Department of Public Health
Site Sketch
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PROPERTY LOCATON: 35 Gici_t eC ,(1rG ict
ISSUED TO: C(, rnQoc-k AAoav�, fir_.. SUBDIVISION LOT #
Authorized State Agent Date: CG/GI hGi
��btv�-•-� L�aa-��
Gt_itrL=�6�U ` C—c.�,U2T"
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
[.00+`Cte'� M E 110 t n c.
Owner:(bmz6, applicant: [L
Address: O pr� sOo .,,.Date Evaluated: C-;7 acl'ilri
Proposed Facility: d Design Flow (.1949): 3bO t v] -
Location of Site: 2 Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:Q Kq Ho' ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 6 c_ -q
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
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
.1943.1956
Soil
Depth (IN.I
Sapro
Class
.1944
Restr
Horiz
L 3_61'0
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System Type(s) Others Present: �2J •P "'� �""r' ^ih�
Site LTAR , r/