IPACATE #- \-i - S- 3 q-Vri Harnett County Department of Public Health 28163
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: e3 uN T l sJ G CL»r r,
ISSUED TO: rte --C Q, SUBDIVISION 0P U—„c®LOT #'3
NEW)< REPAIR ❑ EXPA N ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S'�:C7 W, "zl Ll
Proposed Wastewater System Type: 'Pier 9 &S`/co ucx o,a
Projected Daily Flow: Co® ® GPD
Number of bedrooms: S- Number of Occupants: i max
Basement []Yes WNo
Pump Required:Ks ❑ No ❑Ma be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well 1() O feet Permit valid for: Five years
Permit conditions: _,„_ ❑ No expiration
Authorized State Agent:: Date: of 1 1 )LA SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu f other permits. The permit h�s 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 Improvem t 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
Reauired 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 T0: cX-c--e. c, C-5 LLC PROPERTY LOCATION: 6 u N -V o c5
SUBDIVISION LOT # 13 I
Facility Type: ��� �� New ❑ Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** ���P 1ls 10 Ur 11s10 )'-15 G�P`rl (Initial) Wastewater Flow: r-00 GPD
(See note below, if applicable ❑) �.56� �y
�v�p�® e oUc.o;,tdP (Repair)
Installation Requirements/Conditions Number of trenches i
Septic Tank Size 40,sd gallons Exact length of each trench LAS® feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: -6--inches
Maximum Trench Depth of: _jS 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. TDH 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
inches above pipe
inches total
**If applicable: /understand the system type speciled is diNerent from the type speciled on the application. / accept the specifIcations of this permit.
Owner/Legal Representative tures Date:
This Construction Authorization is subject to revoc ' if sate 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 t�complian ith the ns 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: tll-a6
Authorization Expiration Date:
HTE Permit # 2� � 6��>
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Qa),4G
ISSUED T0: Macac-SAO M'r--s LLC —SUBDIVISION LOT It
_�62- Date:
Authorized State Agent: L
-5 19 �-:� 1
M.
0 u's
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: Date Evaluated: l
Proposed Facility: rj ��Qt Design Flow(. 1949): �d05 0
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: i AugB ing ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
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
�5
C_
_�-Z 5
�5
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):
Available S ace (.1945) Evaluated By: C�
System Type(s) U M 0 Others Present:
Site LTAR S 3S