IPACNTE# 1 -s-N lad Harnett County Department of Public Health 29453
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: AV�Irn1.44,'t- 4-Ld 2 1 S5
ISSUED T0: ,f�EWC A 13 u F ldes6 '-trkc— SUBDIVISION 5 J. n Pla&c e- LOT # Z
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ 3 (52 L/ f r)e 381 S F4,
Proposed Wastewater System Type: ZS`� f4.d..a:a. can .s
Projected Daily Flow: 1366 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes a o
Pump Required: ❑Yes ❑ No ❑ a�l'�y beer quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ ublic ❑ Well Distance from well feet Permit valid for. Live years
Permit conditions: ❑ No expiration
Authorized State Agenc��_�-�,c Date: o Z o t
s� .�� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Nealth 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 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 .1950, .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: 54cvfc-dl A U i WeSS -X-n, PROPERTY LOCATION: Pvrza (Srt IS5z)
SUBDIVISION —AL 1`51,Ti 01 e a LOT # Z
Facility Type: 3 B2 /9 X id7s S�� [}-Npyq— ❑ Expansion ❑ Repair
Basement.? ❑ Yes 9 -go- Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** 2 s(Initial) Wastewater Flow: 36 o GPD
(See note below, if applicable ❑)
25 io
Installation Requirements/Conditions
Septic Tank Size /v00 gallons
Pump Tank Size gallons
Pump Requirements: fL TOM vs. _
Conditions:
(Repair)
Number of trenches 3
Exact length of each trench =I-0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 2 u - 30 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
_ GPM
Trench Spacing: q Feet on Center
Soil Cover: t z - 18 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 SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
6 inches below pipe
Z inches above pipe
t 1 inches total
f**If appljwble: / ondeatand the ryrtem type rpeciiSed it different from the type rpeciled on the app/kation. / accept the rpecilcadom of thin 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
tonswmon Authorization is subjeet 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 Agent: 1 Date: G0 Zoj�-
Construction Authorization Expiration Date: off/o4l Z6Zz.
HTE# I — 5 — 41 006 Permit # 5 3
Harnett County Department of Public Health
Site Sketch
�c— aoc.c� (�(L ISS71
ISSUED T0: PROPERTY Loam: Aloo,�jc)
5Ec nc:\ (S�' \�etb Snc SUBDIVISION A.,,S(, n P%ucv LOT # Z
Authorized State Agent: // d�-�J �d S Date: 64 / Uy / z(M I .�
WLT 10 YJ
,2rPA%R- An. -A
25�iJ ryCbJCT �O
Pao Po 4 E b
34(L (49'x38) — —
5.�
A6dno%2 i2o��
S(!r 155Z
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
)JMIL Av11� n
Owner: r3-4-ftJ Applicant: 13/A4 Ttic
Address: 1_4 Z A6,,c)u.r Zd, Date Evaluated: oywv1/}
Proposed Facility: $: Design Flow (.1949): 3(eo GPD
Location of Site:r� Property Recorded: )2i
Water Supply: [9'15ublic❑ Individual ❑ Well
Evaluation Method: Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Er -sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: 0696 4C
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
F
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
1942
Soil
Wetness/
Color
.1943
Soil
Depth (M.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
44 V4
sr` SG(
S P s¢Ip
47
a,yS
L3IV
d .. y p
G2
SSSP Y`�p
QS
do -4$
47
G.IJS
o a6
Gq 5
rQ Ss�'S�
�5
er Su-
Spy
ya
0 yS
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948):
AvailableS aee(.1945) Evaluated By: ^ ��
S stem T s /5. n ar ra.a C.arn
eO 1h . &I ZS9 P<.t , Others Present:
Site LTAR G, V