IPAC RHTE# -5-'/IgCC2 Harnett County Department of Public Health 29208
Improvement Permit
A building permit cannot be issued with only an Improvement Permit /
� 99 PROPERTY LOCATION: %-6 Aver4 QGA-\ Dc t�"w1-i6eylc,Q.a. 5/C tyay_)
ISSUED T0: W n eC r �� T SUBDIVISION Ava.,;, Pe,A� LOT #
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: x/32 coot ac GUI s r -r)
Proposed Wastewater System Type: Z 5 iw .111tt. cj, atl. S,< .
Projected Daily Flow: a/() GPD
Number of bedrooms: Number of Occupants: max
Basement Dyes
Pump Required: s ❑ No Ffa`y be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community [Public ❑ Well Distance from well feet Permit valid for. 1ve years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: Cel i91 ';?r21 :7M SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permit. 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 he 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 Permjt)
The contraction and installation requirements of Rules .1958, .1952, .1954, ASS, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall he installed in accordance
with the attached system layout
S t S +Z5
ISSUED T0: 1J�nry Lcv S Lr c + -VA Tnr' PROPERTY LOCATION: -576& Avec Porta i -'r a Nt-Jr- c rkA
SUBDIVISION laver,. pc. cA LOT # r59
Facility Type: ",I Co 'x 40' s ;ei � 12New ❑ Expansion ❑ Repair
Basement? ❑ Yes E;-Ttii'- Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Pvmn Lr; 259 5 a s (Initial) Wastewater Flow: 4'fiv GPD
(See note below, if applicable ❑)
"i, lied c FCA QS _ (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size /d co gallons Exact length of each trench -7�< feet Trench Spacing: Feet on Center
Pump Tank Size t iron gallons Trenches shall be installed on contour at a Soil (over, �_ inches
Maximum Trench Depth of SO 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. TDM vs. GPM
Aggregate Depth:
Conditions:
WATER LINES (INCLUDING 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
t:7 inches above pipe
1 a inches total
**If applicable: / undeataad the rrrtem type rpeciled it different from the type fpedled o y the app/ication. / accept the specilcatims o/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 Combustion Authw ation shall not h transferred when there is a change in ownership of the site. This
lomtuction 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 ATIACHED SITE SKETCH
Authorized State Agent: Date: (-, f,( t bi ZC.,
Construction Authorization Expiration Date: u!?�J 1 (6 / 20 a o?
HTE# I - 5 - y l 9c�/L Permit # 2 ey a 0ce,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOfATON: 3 P Oc . Rd. s2 14a�i
ISSUED TO:k19 nn SUBDIVISION LOT# 6'9
Authorized State Agent: io Date: b�3� ��RoI
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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
'cn
Owner: Applicant: Cn, 244 Cu2�{ivf.E--,.1/te•
Address: A�� lc. 4 LU{ 61' Date Evaluated: ,0811611 q
Proposed Facility: I/'i/, $<6p Design Flow(. 1949):
Location of Site: Property Recorded:
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:Ej-A ger Boring _ ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: • L
❑ 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
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o -2z,
5L
Vff fR471
42s
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5"1c
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36`
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U� PS
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a,,oL
Description Initial Repair System Other Factors (.1946): _
S stem Site Classification .1948: (fns✓r/ h! s r��,E
Available Space (.1945) Evaluated By:
System Type(s) Others Present:fC.3 r✓vff •�� [��-C/S
Site LTAR