IPACHTE# ]S- 5-q334 Harnett County Department of Public Health 29906
Improvement Permit
43
A building permit cannot be issued with only an Improvement Permit Keg- I a%
oo PROPERTY LOCATION: .341 ShgdH Zcuov_ Lng
ISSUED T0: �osi1 uta 6 L� r" l J r� ] e SUBDIVISION LOT #
NEW Sr REPAIR ❑ EXPANSION ❑
Type of Structure:. 26a 59tX�PBs K, ^
Proposed Wastewater System Type: 55/- 5 is -
Projected Daily Flow: GPD
Number of bedrooms: �3 Number of Occupants: max
Basement ❑Yes 5KO
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
1+3'Na a required based on final location and elevations of facilities
2' Public ❑ Well Distance from well NA- feet
Permit valid for.
5 Five years
❑ No expiration
Authorized State Agent:: C:/�_' .- Date: 5-"'.51or- GI E3 SEE ATTACHED SITE SKETCH
The issuance of this permit by she Health Department in no way guarantees the issuance of other permits. The permit holder is responsible fes 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 on compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to considers of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .19SD, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be instilled in accordance
with the attached system layout
ISSUED TO: 3cx6i,%uck X LeAor-2n PROPERTY LOCATION: 391 6k8l Ga(-c:)dK Ln.�LctFr�uti� r7b Src scjC(�>
SUBDIVISION � LOT #
Facility Type: _312,(Za < 5 t 4�w ❑ Expansion ❑ Repair
Basement? ❑ Yes or
Basement
Fixtures? ❑ Yes ❑ No
Type of Wastewater System"
'fib %
Zea o n Sy s,Ar�
(Initial) Wastewater Flow: 36 G GPD
(See note below, if applicable ❑)
965/'
JQ, AA �r�c.c'a J56 - (Repair)
Installation Requirements/Conditions
Number of trenches 3
9
Septic Tank Size IOCfb
gallons
Exact length of each trench 9C3 feet
Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover. _g inches
Maximum Trench Depth of: C_ 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. TDM vs. GPM tyA inches below pipe
Aggregate Depth: tJA- inches above pipe
Conditions: (')ti (no—In,— D—P�cC S�tQf.lk VZ), i 6A lobs OC) f2e..J:^e_� r-1 Pc 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 system type speciled is different from the type speafled on the app/icadon. / accept the rpecilcationr of this perm![
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
Authorized State Agent:
sions of the Laws and Rules for Sewage Treatment and Disposa
Construction Authorization
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: o3Jc>(;, aV IS
tion Date: 03rd 31 06-L3,
HTE# IC6-43 —433#q Permit # �;?G906
Harnett County Department of Public Health
Site Sketch
Authorized State Agent:
0�5% R�c"�y�x-tioJ
� CS2 tU43�
PROPERTY LO(ATON: 33`11 Shy, QccxkLn. Clcuq rze1. —D . Wtf�
_ SUBDIVISION LOT # &
Date:
)vo , Goa{c�x a- S3oc
S %a 4Z'�>Y C3 rzvotc- I—�ti
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
-5cft>h
Owner: uxr- , Applicant: k[4 -F COA5V.0—i-- A
Address: 391 c a„c Lt5 , Date Evaluated: 63/c,6/le
Proposed Facility: '�p/L 5� Design Flow(. 1949): 3Ge��p1�
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: uger B ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: jv_aAC-
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope %
Horimn
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.)
Sapro
Class
.1944
Restr
Horiz
1
t °
o.
_ 1,s
✓y>55�
V �5
z- 3q
g✓ C-
<,i 6 r
rpe- s,f (-
t�1 5 P 4cye
P5
i
L%
(U�
1 V 4
Description Initial Repair System__T Other Factors (.1946):
System Site Classification (.1948): 'Ptbvv�i'ony 5�:6.t�1�
Available Space (. 1945) Evaluated By: AA�t�� GJ�ra`r)
System T e(s) d` 2� S` Others Present: l�
Site LTAR C' - ,5 IG.