IPACHTE# 16 - s- y0/3 Harnett County Department of Public Health 29273
Improvement Permit
A building permit cannot be issued with only an Improvement Permit t kil1C /Ld
PROPERTY LOCATION: (10ma/ d Or. Gh3�L r6�(dl
ISSUED TO: w -.rd Avert i�i' SUBDIVISION Ai none LOT # /Z
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Yge sle
Proposed Wastewater System Type: Zf i (4. S a.tl.� (Purp�
Projected Daily Flow: i'8 Gn GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes LwI�No
Pump Required: [Res'— ❑ No ❑ Nay be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community EY'Foblic ❑ Well Distance from well feet Permit valid for. a,1 a years
Permit conditions: ❑ No expiration
Authorized State AgenlL__ C `�w-Iate: 17— Lo ' / t. SEE ATTACHED SITE SKETCH
The issuance of this permit by t ealth 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 ro revocation if th site plan, plat or the intended use changes. The Improvement Permit shall not be alketted 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.
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.
If applicable: / undeatand the system type specified it different !rom the type rpeciled on the app/icatio .. /accept the rpeci in tionr of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authoritsmon 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
Authorize State Agent: �/�i91i�`� Date: 17—
Construction
Z—Construction Authorization Expiration Date: /Z--Z-c>
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 acmrdance
with the attached system layout
ISSUED TO: _r,Awcrd- AvetraE i PROPERTY LOCATION: eo..1w✓d Or. l SG /-4 ' "1 Z'0j
SUBDIVISION Ay
/10.1 d LOT #
Facility Type: � `182 SILO
[?few ❑ Expansion ❑ Repair
Basement? ❑ Yes to Basement
fixtures? ❑ Yes ❑ No
Type of Wastewater System** 'L590
92dvc};c� S s'ew..r C N&*TA)
(Initial) Wastewater Flow: 'YfO GPD
(See note below, if applicable ❑)
Sojo
�Ta 8 P 5S sLi+r^((brlip) (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size :coo - rise gallons
Exact length of each trench /'/O feet
Trench Spacing: 9 Feet on Center
Pump Tank Size low- 17-56 gallons
Trenches shall be installed on contour at a
Soil Cover. /'' inches
Maximum Trench Depth of: 2L 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. FEIN vs.
GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions:
inches total
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.
If applicable: / undeatand the system type specified it different !rom the type rpeciled on the app/icatio .. /accept the rpeci in tionr of this permit.
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authoritsmon 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
Authorize State Agent: �/�i91i�`� Date: 17—
Construction
Z—Construction Authorization Expiration Date: /Z--Z-c>
HTE# 1� – 5" yo t 3? Permit # ZIF2t;''?
Harnett County Department of Public Health
Site Sketch
PROPERTYLOCATON: 20zIwd Occh+I� e4k- , i
. 52 v/ ivL�
ISSUED T0: 6.1 Avere-�F SUBDIVISION dvuy Porti LOT # I ?
" i18�lr3 /Z --Z o —
Authorized State Agent Z� Date: < G
r— —
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Department of Environment, Health and Natural Resources Sheet:
Division of Environmental Health
e
Property ID:
On -Site Wastewater Section
Lot
SOIL/SITE EVALUATION File #:
Code:
for ON-SITE WASTEWATER SYSTEM
Vj 7n'
Owner: (onSr1tt'ti\pplicant: C�J.,�<r� Aute
Address: Lo+ i 7 9r Date Evaluated: k0161 til
Proposed
9 32,/-(> Design Flow (.1949): [(80 �tt�d 7 Property Size:Loca
ion of Site:. A v c 61o',�d� Property Recorded: I'e
Water Supply:
lSPublic❑ Individu ❑ Well ❑ Spring C1 Other
Evaluation Method:❑ Auger Boring
(pit ❑ Cut
Type of Wastewater: [Sewage ❑ Industrial Process ❑ Mixed
P
R
O
F SOIL MORPHOLOGY OTHER
I
.1940 ,1941 PROFILE FACTORS
L Landscape Horizon
1942
E Positiory Depth .1941 .1941 Soil .1943
N Slope% (In.) Structure/ Consistence Wetness/ .1944
Profile
Soil
Texture Mineralo Color Soil Sapro Restr
th IN. Class
Class
Horiz
G,. �_ 5s� s;.�
& LTAR
�s
`��+
iii
G 3
Z
�S
2U �CiY g( F� 5 P 5 � �' 1/14 P t
o, 3
3 a,z
Al fq 5` loyz
r 48 f
G•3
Description Initial Repair System Other Factors (. 1946): Pion{
System Site Classification (.1948): P•c•d,'Scn..lt� F�.y
Available S ace .1945) 5.. t
System T s Evaluated By:
She LIAR ) r� oho .ztb- Others Present: And-e.o c,<r-�,v �Grf-s—r
d i C J _ 74.n+¢.8 MrM�nc.r> . Gic �a.c