IPACHTE# IG= ja Harnett County Department of Public Health 29272
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0: Q,8Q,8
�� Il v PROPERTY LOCATION: 0 u/
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NEW SUBDIVISION A J �"r /`x
REPAIR ❑ rte EXPANSION ❑ LOT # I7
Type of Structure: NQct_ $L1� Site Improvements required prior to Construction Authorization Issuance:
Proposed Wastewater System Type: _2SYa. G2�,d.
Projected Daily Flow: LIS 5 lcm ( PZ P)
GPD
Number of bedrooms: 4 Number of Occupants: "8
Basement Dyes 2760max
Pump Required: ❑Yes ❑ No G?/Ma be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well
Permit conditions: feet Permit valid for.
A C�e years
Z ❑ No expiration
Authorized State Age
The issuance of this permit by a ealth Department in no way guarantee: the issuance of other penniu. The permit holder responsible>or checking with appropriate governing bodies in meeting their requirements. this
site is subject to re, do, it a 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 sublets compliance AT
TACHED ceIwith the Provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
it
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, . 957, 1958. andr.169591aam incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
ISSUED T0: _ ��ward A�ec��
PROPERTY LOCATION: (Zows,.j n 17 6,r4-�""!�z //
eA�1
SUBDIVISION we.r gond 52'�'"f
Facility Type: 442 S/y� LOT # r/
Basement? ❑ Yes �ew ❑ Expansion ❑ Repair
No Basement Fixtures? 11 Yes El No
Type of Wastewater System** 'LSiWA
� T., s Le n
S7
(See note below, if applicable Ell{ o d) (Initial) Wastewater flow: Ys0
GPD
So% Pfees S,s�(n,,
Installation Requirements/Conditions (� (Repair)
Septic Tank Size I b 1tSp Number of trenches rf-
-� gallons Exact length of each trench /G
Pump Tank Size /00 -1iSv gallons Trenches shall be installed on contour at a feet Trench Spacing:
�Feet on Center
Maximum Trench Depth of 3p _ S 8
Soil Cover: /8— 6 inches
P inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4"
in all directions) 36" above the trench bottom)
Pump Requirements: h. TDN vs. _ GPM
Conditions: S{t,, /* inches below pipe
oFG Gon(o i FUM �;e AliAggregate Depth: inches above pipe
w7%A a ,/ a,d /G�G1 ct:S1 ,6�1.•... `�he.>soc t8�
c�cct`os s s ,sem inches total
WATER LINES (INCLUDING IRRIGATION) MUST HE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR ARE
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. A.
If applicable' / undetrtand the ryrtem type rperified it diNerent ham the types ecih'ed on the app/kation. / accept the Jpetiltatioat o! thin pemlit.
Owner/Legal Representative Signature:
chis Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. the Construction Authorization shall not 6e transferred when Dateem :
a change in ownership of the site. This
Constmcdon Authorization is subject m compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State entl/ .
Date: 6Z—Zd
ction Authorization Expiration Date:
HTE# I G S- -/o /349' Permit # Z 9 e- -41
Harnett County Department of Public Health
Site Sketch
PROPERTY LOfATON: (LO"' -Ad Dr. ` 5 a a
ISSUED TO: 1✓8 vi w-6, A ve- re- 44 SUBDIVISION Aver, eOnd LOT #
Authorized State Ages GDate:
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health
e
Property [D:
On -Site Wastewater Section
Lot
SOIL/SITE EVALUATION File #:
Code:
for ON-SITE WASTEWATER SYSTEM
VJ)nn
Owner: (un3/�✓krnAPplicant: C-2.LS1� AJere4v
Address: Lc!- 11 i2p..,iw.Z Or. Date Evaluated: /Z/Oh//G
Proposed Facility: 4 (3rL 5�_9 Design Flow (.1949): qyc, 5°� Property Size: L+. V -31 -
Location of Site: A.,. p'„,�/ Property Recorded:
y^cd
Water Supply: L�'Public❑ Individual ❑ Well ❑ Spring ❑ Other
Evaluation Method:❑ Auger Boring 94it ❑ Cut
Type of Wastewater: ❑ Sewage ndustrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY OTHER
I
.1940
L Landscape Horizon .1941 PROFILE FACTORS
.1942
E PositiolJ Depth .1941 .1941 Soil .1943
N Slope %a (in.) Structure/ Consistence Wetness/ .1956 .1944
Profile
Texture Mineralo Color Soil Sapro Restr
D th IN. Class
Class
_ Horiz
& LTAR
4 z
Ps
PA
613
2
6 Z6 ��� SL �r SSSP Seo
Ps
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6P-3
L' 0-?� 6r ' 5L �r SSSP 5`rF
PS
oklSL F S;' 5z"e
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space 1945)
. 02 ✓S.c4.,/r f,,, y.,, (�)C
%
S stem Ty Evaluated By:
Sa' ¢e,{. PPOFS Others Present: �ndrr«� L"r"'✓�=`fS—x
Site LTAR
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