IPACHTE# 14- 5-4101 Harnett County Department of Public Health 29469
Imarovement Permit
LJJflA OrsS� JLk A building permit cannot be issued with only an Improvement Permit
t1 =ry PROPERTY LOCATION: ryl no cal Sor,no< t_n 5M IUZSs)
ISSUEDT0: ��Z l�.rer SUBDIVISION Avg P?r- LOT # -Z5'NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 4 6(? SFp Lam` V GO')
Proposed Wastewater System Type: z5
Projected Daily Flow: `i S 5 GPD
Number of bedrooms: 1+ Number of Occupants: $ max
Basement ❑Yes o
Pump Required: es ❑ No ❑ MMuired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Ids Public ❑ Well Distance from well / -cam r feet Permit valid for. 0-ffve years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: a6 / O 9 / Z -a t `-Ii- 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 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 Buildine Permit
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall he installed in accordance
with the attached system layout.
ISSUED TO: t=, A w&s-c� A i e L--4 s'- PROPERTY LOCATION: M,A.'2.1 SM1
Ss
ir n5 L l Jd (&,W4Wgi1425)
SUBDIVISION A �r LOT # 35
Facility Type: t -I t3lL St=7 &r4) 9-<w ❑ Expansion ❑ Repalr
Basement? ❑ Yes U--NoBasement Fixtures? 11Yes ❑ No
Type of Wastewater System" ecyirw k-c�ZS%, 5 s icy (Initial) Wastewater Flow: e/ 5 O GPD
(See note below, if applicable EI)
PJT %a 1-5%u aeck - S73&m (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 11.50 gallons
Pump Tank Size gallons
Exact length of each trench %7-0 feet
Trenches shall be installed on contour at a
Maximum Trench Depth oL• 2N inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDM vs. GPM
Conditions:
Trench Spacing: % Feet on Center
Soil (over. / Z inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
G inches below pipe
Z inches above pipe
4 z inches total
"If applicable: / ondeATtand the siortem type specified /s different from the type speciled on the application. / accept the spec&&&tuns 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
Construction Authorization is subject to 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 Agent: � �� Date: Oto/o9/Z01-4
Construction Authorization Expiration Date: 0 c°/ O l /26 Lz
HTE# ►i-5-4lota
Permit # Z 9 y6 7
Harnett County Department of Public Health
Site Sketch
0 n n Cor66-,x61On,:Z7ic. 52 6e
PROPERTYLOCATON: fil;ne.Pa\ SPnnc��5 Ln Ghal�ad�
ISSUED T0:=c\��� A. coed SUBDIVISION Aqua Pct LOT #�
Authorized State Agent Date: Go X691 z� i
Y
M, PElLAL SeeLI>G c. -3
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
w �A
Owner: df(• Appplicant: *w.v-d Avtrn%%
Address: Cc% 3-'5Aq Date Evaluated: 0`19.6111'
Proposed Facility: 4(;2%, Design Flow (.1949): . (aeD
Location of Site: 4w42 P4,Z I Property Recorded: jo-�
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method: ger Boring ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: �� �G
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.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 (IN
.1956
Sapro
Class
.1944
Restr
Horiz
L 3%
2y-Yz
®✓ C
f/ S a SL
'I-S/d�IIC `{�`i
Lex
G•�3S
19-
F,/l
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y Z
0.3
C Z%e
c,
Gl 3 PSG
'7 SIV 4 Z'�
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a
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0.20
1 5L
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20-yti
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Sey
7-SYZ% yo"
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0.3
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System T s) Z .`s Others Present: Of iir �L
Site LTAR