IPACHTE# (} -s -Liao 0 Harnett County Department of Public Health 29210
Improvement Permit
A building permit cannot be issued with only an Improvement Prmit
p PROPERTY LOCATION: aaS AbtIZa Ln. C'/OVA, 2a. 52 164
ISSUED T0: W ASOn SUBDIVISION LOT # a
NEW REPAIR ❑ EXPANSION ❑
Type of Stricture: 362 6a'x53' 5Fs>
Proposed Wastewater System Type: L5v 42 cb,'o n 5,s .
Projected Daily Flow: 360 GPD
Number of bedrooms: �3 Number of Occupants: _max
Basement []Yes4 o
Pump Required: []Yes ❑ No ay quired based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well too feet (,.�+1e-'� Permit valid for.
Permit conditions: RJ6 A r"A' tar of n 62("l Ccs tt- x' i t c xs A 42-1 eta
Site Improvements required prior to Construction Authorization Issuance:
2-rive—years
❑ No expiration
Authorized State Agent::/%r'rfrS Date: 0' 3 1 d,311 7 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 requimmenh. This
site is subject to revocation if the sire plan, pla. 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..
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable: / understand the synem type spesnXed is different from the type spec/fred on the app/icatian. / accept the speci&adom 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 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 Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: c"G l a 3 / t -7
Construction Authorization Expiration Date: ' v8 / a 3 / a
Construction Authorization
(Required for Building Permit)
The constriction and installation requirements of Rules .1958, .19S2, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references
into this permit and shall be met. Systems shall be installed in aaardmce
with the anached system layout
ISSUED TO: OV -e 3,1
PROPERTY LOCATION: IL-
Abl 11-A Ln. ('/o„a� /41 S? L3r5)
Facility Type: 5G&C.a'Se 53' 5 e7
� SUBDIVISION
B Hew ❑ Expansion ❑ Repair
LOT # ;a
Basement? ❑ Yes GYSo Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Ai — 6r<,de
zs tze. a a, c E •s,o s
(Initial) Wastewater Flow: 360 GPD
(See note below, if applicable ❑)
z5%c, ria 5p5 . (Repair)
Installation Requirements/Conditions
Number of trenches 3
Septic Tank Size t o C)c-, gallons
Exact length of each trench bo feet
C,
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover. C, inches (�, h,, -e,
Maximum Trench Depth of: �a inches
(Maximum soil cover shall not exceed Co �e61
(Trench bottoms shall be level to +/•1/4"
36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs.
GPM
6 inches below pipe
Aggregate Depth: a inches above pipe
Conditions:
Soil C -c, ,a -r- (jQ kgfe&
/a inches total
a
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable: / understand the synem type spesnXed is different from the type spec/fred on the app/icatian. / accept the speci&adom 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 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 Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: c"G l a 3 / t -7
Construction Authorization Expiration Date: ' v8 / a 3 / a
HTE# i i- S- y ay Il Permit # 2 g a o
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: aa6 461;tZ�d Ln I Wo•.r V ". 5,t l.Sy
ISSUED TO:Uke� l unAul ly; I4,n SUBDIVISION LOT #
Authorized State Agent: L _� _ 1��r<, !/�15 Date: a?01-7
q �i ern r__ LV 2 21 ^'
,yl CCfAtw( Mal VCL,` 51i5l tj — L&L t e vet) . ocjaC
.} tJ0 �rup l/14 06 n1 4vrLk LOnkeGVr ;A 1;OE C
Jt' LoC 6ln(,tl1 c.lec re Li a.5 4o A-l0T a;&kvrb/rc Mo,e er cnt So; lS
r /, ,-.1
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: 6" jo; JJOA
Address: tZ$ A)A,4E4 Ln Date Evaluated:
Proposed Facility: Design Flow (.1949): 10 CXD
Location of Site: 3 5`� Property Recorded:
Water Supply: Public❑ Individual ell
Evaluation Method:❑ uger Boring ❑ Pit ❑ Cut
Type of Wastewater: 0--§ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: I, go AC,
❑ 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
.)3
L
A6
vq JYr,
c� PS
J?K su
44S P
7.5 ���il��"
ZS'
U • SL
z��
C)-S�
L'3
✓'2
;12-51
oll?,S
2om''
C)
Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): Ug6ut 'FR fid /Olt✓,5) GnhWj 5 �r"Fn4L
Available S ce (.1945) Evaluated By: qq
System T e(s) 5 Others Present: til n C3 re" C _r r n
Site LTAR p