IPACHTE# 1 sL 3 Harnett County Department of Public Health 28311
Improvement Permit
A building permit cannot be issued with only anImprovement Permit
PROPERTY LOCATION: �U tat -T ±tR cx<_
ISSUED TO: osis XTL \A0 c'^c'�' LI-- C-- SUBDIVISION 'Qr-- mac, tp� LOT #66
NEW' REPAIR ❑ANSION ElSite Improvements required prior to Construction Authorization Issuance:
Type of Structure: `' C`��1 x510E
Proposed Wastewater System Type: -2S`i't e R-xzr,, V Uva d ys, C-�
Projected Daily Flow: LNC GPD
Number of bedrooms: t -k 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: ❑ Community "; Public ❑ Well Distance from well 1 b G feet Permit valid for: Five years
Permit conditions: `� 6 ❑ No expiration
Authorized State Agent:: ���� �� �` � Date: 312 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is i ce other permits. The permit holder is respo Bible 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 lmprovebe4 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1959. 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: �� O -,.5"-,E li.o crLLs LLC. PROPERTY LOCATION: �GCS� SCLPscac Qc)
SUBDIVISION o t-ctacQPT- LOT #off
Facility Type: 5�9 ��� '`S O� New ❑ Expansion ❑ Repair
Basement? ❑ Yes 't� No Basement Fixtures? ❑ Yes ',No
Type of Wastewater System** a��' ��o v c-S� o N Sy 5 764r\ (Initial) Wastewater Flow: �g GPD
(See note below, if applicable ❑)
�o �Ep v Gi 1 N S y� (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size IOC) d gallons Exact length of each trench 10 d feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of;M - 3 (o inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: ';—QJt inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
Thk (nmtrurtinn Anthnri7a6fln-ii suhiect 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 isct to co with th visions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this per
Authorized State Agent: P/ --Date:
struction Authorization Expiration Date:
a c)
SEE ATTACHED SITE SKETCH
HTE # ' 5
Permit #
M )) )
Harnett County Department of Riblic Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: o "S )7-G 1ArJmG`S Q --C- SUBDIVISION GGrt C"i LOT # 00
Authorized State Agent: LwC—j�)."7ai—)<SJ' C)S Date: ��� 1S
t.
�cio,
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:
Proposed Facility: i -, SCQ r7 Design Flow (.1949): LiT3 5T)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:❑ Aug r Boring Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
I
L5
. s
0-10
G
104,0
SPY. C-
R4s�
3
a
C)`3
G 5L
VFh
-S�o
g6
S
.3
3
o -a
L
M7 usJ
.3
Description Initial Rep it System Other Factors (1946):
S stn Site Classification'(. 1948):?S
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR