IPAC RHTE#1'.1 5~ Harnett County Department of Public Health
Improvement Permit 27085
A building permit cannot be issued with only an Improvement Permit
\ PROPERTY LOCATION: "ogmr. L.a
ISSUED TO: "0 QAA V-~Os4 \-\O V'+t Z U.. SUBDIVISION ®o u c.L#6 "o2r4E LOT # ~2)
NEWX REPAIR F-1 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5~ ~4'►x~rn ,J
Proposed Wastewater System Type: F-4-5y /0 9F_~>U <As f t j
SyS-~GtY.
Projected Daily Flow: ^'2 1~:C9 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes >No
Pump Required: ❑Yes ~ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public El Well Distance from well k O O feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: t SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan e f r permits. The permit holder is respon ible 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 it 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, .1952, .1954, .1955, .1956, .1951, .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: 0v q,"o,DpJ ~NamlE6 LLC PROPERTY LOCATION: VNo z t.,G LN
SUBDIVISION ~)oU sdti,.p,5 4rtS>E LOT # G
Facility Type: 5{-QCC l x30 New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~K No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** 2.5a~Q ~C-r~vC~soa, ;Grp (Initial) Wastewater Flow: 300 GPD
(See note below, if applicable
p u c,ryP-To (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size t o C) gallons Exact length of each trench feet Trench Spacing: C1 feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: _ ,Q inches
Maximum Trench Depth of: 1a.-1 -inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions) 1?~E-Uo-w A, D 094-
Pump Requirements: ft. TDH vs. GPM r.Ubf..
Conditions:
Aggregate Depth:
inches below pipe
inches above pipe
inches total
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.
**If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representativ i nature: Date:
This Construction Authorization is subject to revs if a sit an, 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 subjec pliance th " ns o e Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Co tion Authorization Expiration Date:
NTE# 1).; cv- -~94,P AQ Permit # r~nO'95
H('11-nett County- Department of Public Health
Site Sketch
ISSUED TO:
,4 0
Authorized State Agent:
L~
I-L
I F QLp psz.QlNLI N e5
PROPERTY LOCATON: \rk02,; E LN
SUBDIVISION fl y ,t. ' acM LOT #
S ~L~~tKt, KOL~'A(l~r~ Date:
® G p,LU 2)v '°T'0 1 Ns-~P,c. T.,~~ )o n? ~ ~~S~a Amy (~U(~'S l b
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:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:[
Type of Wastewater:
Date Evaluated:
Design Flow (.1949):
Property Recorded:
❑ Public❑ Individual ❑ Well
] Auger Boring ❑ Pit ❑ Cut
❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
®-v
G s
V
N;'S
SVY- C-
s~
a y 4~ G 3~
x
C
~oL J V ,
%)C, S(~ L.
tRZ J~!
Description
Initial
Systerti
Repair System
Other Factors (.1946): p~
Site Classification (.1948): j
Available Space (.1945)
Evaluated By: {Y`
System Type(s)
~ lrr2l7
XiY~
Others Present: -
Site LTAR
y