IPACHTE# ( 55 yUIV Harnett County Department of Public Health 29271
Improvement Permit
A building permit cannot be issued with only an Improvement Permit �..�
ISSUED TO; r5 I; aer} A v Cre-6 A PROPERTY LOCATION: ROtolund Of �6wt16 etF` �)
NEW LK SUBDIVISION S 2 e `�
REPAIR ❑ EXPANSION ❑ — Aver N ..� LOT # �
Type of Structure: 40a. 5 p, site Improvements required poor to Construction Authorization Issuance:
Proposed Wastewater System Type: 2S
GPD �e 3 silty t v�1
Projected Daily Flow: 4g 0 °
Number of bedrooms: µ Number of Occupants: T
Basement Oyes 9 No mag
Pump Required: G71 s ❑ No ❑ May be required based on final location and elevations of fadlities
Type of Water Supply: ❑ Community lik;�Public ❑ Well Distance from well
Permit conditions: _ het
Permit valid for: Ls ive years
❑ No expiration
Authorized State Agent.:
The issuance at this permit by the app Department in no way guarantees the issuance of other permits ihDeapermm holder is responsible (checking with appropriate governing bodies in mewing their requirements. This
site is subject to revontion 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 subjEctAro oompEimcelwith SthETpNrisions of
the Laws and Rules for Sewage Treatment and Disposal and ro conditions of this permit..
Construction Authorization
it
The construction attached
and installationlayout
requirements of Rules .1950, .957, .954, .1955, .956, .1987. 19 8a adi!re BSplase incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: "Ia_3 Ali-cre-.44 /
PROPERTY LOCATION: Roo/unj o!, I h, 7> 6 u �b )
y cy 2 SUBDIVISION A 5 2 a µ f
Basement?
Type: D — war'' P pond LOT #
Basement? ❑ Yes L7�New ❑ Expansion ❑ Repair
o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System"' 'z S y�
cn
(See note below, if applicable ❑) ,�} �^` "m (Initial) Wastewater Flow: 4*486
GPD
SO% Pe6ps 5 .slrey C_6„ (Repair)
Installation Requirements/Conditions Number of trenches 4 -
Septic Tank Size e0oo - tz.6o gallons Exact length of each trench t o 0
Pump Tank Size I bo - a zso gallons Trenches shall be installed on contour at a feet Trench Spacing: Feet on Center
Maximum Trench Depth of Z6, - I g Soil Lover. l4 - 6 inches
P inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4"
in all directions) 36" above the trench bottom)
Pump Requirements: ft. TDM vs. _GPM
inches below pipe
Conditions: S,ri /eye oFF eon�ov! from aSter(ZG n} +r, �� ,s t8 ^Aggregate Depth: inches above pipe
inches total
�c.G.loS.f Jf Sfem
WATER LINES (INCLUDING IRRIGATION) MUST BE )OR FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable- / undeatand the rystem type tpeciled irr different from the type specifed on the app1wigan. /accept the tpetilratianr of this pem7/t
Owner/legal Representative Signature:
Thu CoctionAut Authorization
isos is subject to revocation wis it the site plan, plat, or the intended use changes. The Consnuttion Authorieation shall not be transferred when tDhee is a change in ownership of the site. This
Construction Autlwri:ation is subject to compliance with the provisions of the taws and Rules for Sewage treat�entGandeDisposal and ro the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent -
—ate:
t L z--o—L�
-.f S Z7. Construction Authorization Expiration Date: r z
HTE# 16 ' S - N O / 3.S Permit # 2 9 S -4' 1
Harnett County Department of Public Health
Site Sketch
PROPERIYLOCATON: Ro..11cn6 Or./`
ISSUED TO: �: d wcs� 4 tr�E SUBDIVISION _ Ave.r�Po�� LOT # -4z Ra.
e
Authorized State Agent: Date:
i ISI st
104' I
100
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Department of Environment, Health and Natural Resources
,
Division of Environmental Health
Sheet:
On-Site WastewWastewatere
Section
e
Property ID:
Lot
SOIL/SITE EVALUATION
File #:
for ON-SITE WASTEWATER SYSTEM
Code:
Owner:Cv ^ 1ppplicant C-R" d - avU��
Address: cc's rl i �d nr. Date Evaluated: t 2 / o 9 l / L
Loc Proposed
fSiFacility: Li3 rL S�9 Design Flow(. 1949): 4209^I/d� Property Size: d q6
/ave/ t , ,04 Proprty Recorded: YCj
Water Supply: Ly Public❑ Individual
❑ Well ❑ Spring
p
Method.-[] AugrBoit ❑CutType
pSewnge
OtherEvaluation
of Wastewater: Industrial Process El Mixed
P
R
O
SOIL MORPHOLOGY
I
OTHER
.1940 .1941
L Landscape Horizon
PROFILE FACTORS
.1942
E Position, Depth .1941 .1941 Soil
p Slope /o (N.) Structure/ Consistence Wetness/
.1943
.t956 .1944
Profile
Texture Minerelo Color
D IhiM
Ciao Restr
Class
Horiz
& LTAR
( L� p_Iz L-� F. 555E'SE�p
Ps
3Z y8 �C 5 n SCr�
y$ `F
O , 3
_ SL_ 1/
i, P a ,aAl�a (�ceznk
0_3
L1 a) S pS``iO'
PS
Mt. ♦V ul N /tiro/
/ -
C Y.�
0 3
Description Initial Repair System Other Factors (.1946):
uILe
Sys eSite Classification.1948:
Available S ace .1945) ( )
r ,'Un �, I
Site LTAR s) 2.5% tient. o POP OthersEvaluatedBy:Presentt:
re..o C �s r ;
n./ 1Z 1.15 _S
7
0,3 Us'
'Tc,r+�Q�J ARn.0ACr ,) 2E*5