IPACHTE# -`401 cfz Harnett County Department of Public Health 29279
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: OT,nc r.1,SSar; nsc [ n Srz +4`Y/51Ly
ISSUED,TO/ r 1.Ocs2 A areE� SUBDIVISION Avery Pond LOT # /7
NEW kt REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ °/ C52 SFr>
Proposed Wastewater System Type: Z.
Projected Daily Flow: 996 GPD
Number of bedrooms: 4— Number of Occupants: max
Basement []Yes VNo
Pump Required: OWs ❑ No ❑ May a required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ED Public ❑ Well Distance from well feet Permit valid for:ive years
Permit conditions: ❑ No expiration
Authorized State Age C Date: l �- Zo - G SEE ATfAfHED SITE SKETCH
The issuance of this permit by th R th Department in no way guarantees the issuance of other pertain. The permit holder is responsible for 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 to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
Required for Building Permit)
The construction and installation requirements of Rules .1958, .1957, .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
ISSUED TO:f�1. v- a o,Y.t1 PROPERTY LOCATION: 410.1
SUBDIVISION ti d LOT # f 7
Facility Type: 46 2 5 i=9 UJ"'New ❑ Expansion ❑ epair
Basement? ❑ Yes D14o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 2 S % 2eA.w+;a 17 6jr/,' -a � Pu n f ) (Initial) Wastewater Flow: 'a'0 GPD
(See note below, if applicable ❑)
Z5 % /Lea x d : n � LOU- P) (Repair)
Installation Requiremetns/(onditions Number of trenches S
Septic Tank Size Ieva -1z.5o gallons Exact length of each trench deo feet
Pump Tank Size taco-izse gallons Trenches shall be installed on contour at a
Maximum Trench Depth of-, 'Lei inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: C7 Feet on Center
Soil Cover. lZ- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
*•If applicable / undezr and the grtem type rpedfled it different /tom the type rpecibed on the app/icatian. / accept the rpecilcatiaas of th pem/it
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the siu plan, plat or the intended uu changes. The eomtruction Authorixadon shall not be transferred when there is a change in ownership al dte site. This
•-,•..�..�.�� .uurvnunen „,uuleu su wmgiame mm me provisions as the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized ate Agen e Date:
L Construction Authorization Expiration Date: i t- 7 0 - Z/
HTE# 16 S </o/Yz Permit# 29Z -7q
Harnett County Department of Public Health
Site Sketch
chti(yb' A(
PROPERTY LOCATON: M.'ete �,I 5Pt' t 52 /v
ISSUED TO: r A wc. - A� ere. Tr t SUBDIVISION Aum ^� ,�A LOT # _jam
Authorized State Agent:��
Date: /
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Department of Environment, Health and Natural Resources
SOI. MORPHOLOGY
Division of Environmental Health
Sheet:
On -Site Wastewater Section
Property ID:
Horizon
Lot #:
SOIUSITE EVALUATION
File #:
for ON-SITE WASTEWATER SYSTEM
Code:
111A n
.1941
OWner:tc05k'(/-"-Applicant: �-dw, l rl -e f (-
.1943
Address:Lo+ )-A 14, ./ p,,f L, Date Evaluated: /GI11G
Proptosed Facility: Site: Ay 9? , 5 �0 Design Flow (.1949): f,fb 9�dti
` 4,11.�� Property %
Property Size: p. V;? A r
Recorded: Y"
Water Supply: C7 Fublic[3 [ndividua)/
.1956
Soi1 Sapro
[3 Well
Evaluation Method Auger �B ring Q it EJ Cut
Type of Wastewater:
❑Spring ❑ Other
LJ Sewage 0 Industrial Process
❑ Mixed
R
O
F
1
L
E
0011
.1940
SOI. MORPHOLOGY
OTHER
Landscape
Horizon
1941
PROFILE FACTORS
PositiSlope °�
�1h .1941
I�) Structure/
.1941
1942
.1943
Texture
Consistence
Mineralo
Wetness/
Color
.1956
Soi1 Sapro
.1944 Profile
Restr Class
L_ }�
th IN. Class
Horiz & LTAR
°-1v 5z1�.
F-. sssws'�v
-- -
PS
-4f
�3
3/1
003
r-
C -
6'S
01—
�o
Lam, d `!d 15L 1 Gr . Ft. 5W
d -' i8 JU-/ (S ✓. t'i S' P StEj. '-�' .0 31 i �z�� — -�
Oo�
Site Classification (.1948):
EvaluatedBy:
Others Present: Andrz-�_