IPACHTE# 1l::5 -y aWa Harnett County Department of Public Health 29249
Improvement Permit
A building permit cannot be issued with only an Improvement Permit 52 Tq?C,
PROPERTY LOCATION: '_IS Avera f 0a 6 ()c (",(44 b10 L 2A , )
ISSUED T0: n �nSEr :vn T SUBDIVISION ?s n LOT # L/Z5
NEW REPAIR ❑EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 14 3 2 Ln a S RZZL\
Proposed Wastewater System Type: 5i a 6,11 ds
Projected Daily Flow: /,E50 GPD
Number of bedrooms: 4' Number of Occupants: max
Basement ❑Yes �o
Pump Required: ❑Yes
Type of Water Supply:
Permit conditions:
❑ No Ley be,uired based on final location and elevations of facilities
❑ Community CYfublic ❑ Well Distance from well feet
Permit valid for.
vLN elv years
❑ No expiration
Authorized State Agent:E _� �/l<i�f� Date: 1 6 SEE ATSACHED 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 in 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 considers of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, AST, .1956. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout
sti rud`l
ISSUED TO: laPROPERTY LOCATION: 31 S &if e>,nA- i4 ( Ci,TAt
SUBDIVISION tk p� LOT # /f
Facility Type: x GO' S p ew ❑ Expansion ❑ Repoli
Basement? ❑ Yes o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" S . s dk (Initial) Wastewater Flow: 4"6G GPD
(See note below, if applicable ❑)
96X, /Lc
avc 3�_(Repair)
Installation Requirements/Conditions
Number of trenches S
Septic Tank Size 1 4150 gallons
Exact length of each trench Cc CU feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 94L inches
(Trench bottoms shall be level to +/_I/4"
in all directions)
Pump Requirements: h. TDH vs.
_ GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. / Q 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.
A inches below pipe
A inches above pipe
N A inches total
**If applaable• J understand the system type specified is different from the type specified on the app/icati rm / accept the specifcationr 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 [omtruction Autl�arization shall not be transferred when there is a change in ownership of the site. This
tommucton wthonzauon 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: 1 C� 130 / G? c. 1--I
Construction Authorization Expiration Date: rte/ 3o fac�aa
HTE#4ol-�52, Permit# Z9D4S9f
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: 315 AVe- P.na 52 4�y
��'� Dc- i Cha[; l., t
ISSUED TO: �� n rn SUBDIVISION A a� Q- LOT # _vn--
Authorized State Agent r--'� y��s� Date: ' c l 30 / -iG rq
At--'
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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
Owner: Applicant: U''"1 n(" GdilS�r'"��4 L4C-
Address: Auvf Iavd (.•r, � 14C)y Date Evaluated: 61 G / go 14
Proposed Facility: Design Flow (1949): 4 St;) 62%�,
Location of Site: i/g/L 5F::'� Property Recorded: i-IS�0
Water Supply:❑ Individual ❑ Well
Evaluation Method: ager Borin ic❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: (,) •577 4rC
❑ Spring ❑ Other
❑ Mixed
j 4:ifb
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I aSFE �gn.„kc,.r
P
R
O
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I
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#
.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 jp
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4i2 St_
U% j5f(' (� ,
'PS
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Description Initial Repair System Other Factors (.1946):
S stem Site Classification (.1948): Q2✓�tLn�+�� t ={-3h[c
Available Space (.1945) Evaluated By:
System T e(s) L5% to Others Present:
Site LTAR