IPACNTE# ("A —5 —40M Harnett County Department of Public Health 29334
Improvement Permit
ASe E'('C� cc, AX vii A building permit cannot be issued with only an Improvement Permit
oo PROPERTY LOCATION: &6pegf CVIOCk Q -r—\- S2 Z00q��
ISSUED TO:, A��Sa 61'sV�T�O SUBDIVISION LOT #
NEW 540, REPAIR ❑ EXPANSION ❑
Type of Structure: -6 (3!L 5 C b C Inti` X a/d t�
Proposed Wastewater System Type: Z5% f1e� x +cin Sss/'ry
Projected Daily Flow: S60 GPD
Number of bedrooms: Number of Occupants: _max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No
Type of Water Supply: ❑ Community
Permit conditions:
Site Improvements required prior to Construction Authorization Issuance:
a❑� bee r u—ired based on final location and elevations of facilities
L,I�Publu ❑ Well Distance from well feet
Permit valid for.
❑ No expiration
Authorized State Age ����5 Date: C O %Z/'f SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health 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 to revoation if the site pian, 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 imtallation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1950. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout.
k y'' at dcts At UVO it -
ISSUED
ISSUED TO: 2 PZA' ciwszi.S PROPERTY LOCATION: Fri GNy21n (ZA
SUBDIVISION LOT # U --
Facility, Type: ' X NdLtl�tdew ❑ Expansion ❑ Repair
Basement? ❑ Yes Q o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" 25%v >S vc- ' (Initial) Wastewater Flow:36 6 GPD
(See note below, if applicable ❑)
2�5% &AAA
yrl- S r 5 est (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size IIYC> gallons
Exact length of each trench 5 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: IZ inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: R. TDM vs.
GPM
Trench Spacing: % Feet on (enter
Soil Cover. dB inches Cirn(X>rIC-8
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: i'A6"W ct36V v&w/ 6"a !vwlrbsex& Loeser
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.
inches below pipe
Z inches above pipe
S 'Z inches total
."If applicable: / undetstand the system Ige specified it different from the type specified on the app/kation. / accept the cpedflU ianf 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 Authorization shall not be transferred when there is a change in ownership of the site. This
Lonstruction 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
Authorized State Age ��/ Date: 03/69//7
Construction Authorization Expiration Date: V3/61
HTE# �5 —4" 816 Permit # ZG 33 y
Harnett County Department of Public Health
Site Sketch
Ate�c,(Oo Alvoce& A PROPERTY LOCATON: C(66p" Cj orrb. as . S2 2uoq
ISSUED TO: P"*--'lu Olivare.s SUBDIVISION LOT # _V
Authorized State Agen . ��; jj2— Date: 03/0,0//
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
/ll.e�r�z
Owner: AI✓"'2_i_Applicant: AI L,a/to11lc> )✓ply
Address: 6105lree4- [,(nvrnh Date Evaluated: & 3
Proposed Facility: gQ/L Sr—q, Design Flow (.1949): 360%idl�
Location of Site: Grq&� f CAi,*Z<k Property Recorded: 4z%
-
Water Supply: [41ublic❑ Individual ❑ Well
Evaluation Method:M-Xu� er Bori ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 1 e5 4 rTC,
❑ Spring ❑ Other
❑ Mixed
P
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#
Description
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
L <i%u
a-iz
0-4-
16 3t
{SI( SGL
-' 6
GQ SL
J'S
Ps
s eS
3zt
o,H
�{
L141
u-1 Z
(�
fo
Ps
IZ-31
A �
I� 5 PS
3Z�
o-4-
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Pfp,/;
Available Space (.1945 Evaluated By: &Aj L✓ry,ti'i n�,Aj-5
System Type(s) 7-51 &A lvi6 Others Present:
Site LTAR 0A C2 AV