IPAC RHTE#16 5-31 S5kQ_ Harnett County Department of Public Health 28793
Improvement Permit
A building permit cannot be issued with only an Improvement Pit c�
tv� v \ , PROPERTY LOCATION: C ,. erm0 - t Y
ISSUED TO: l r EKE R d M E -S L -'L SUBDIVISION O P c r o N, LOT #
NEW ]< REPAIR ❑ E,NSION ❑
Type of Structure: 5'�Q (5 7 ,N k 0
Proposed Wastewater System Type: o'LSca/o GOVG 10" Sys -
Projected Daily Flow: 3 6 o GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 1�410
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes �No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community �;K Public ❑ Well Distance from well b feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: a 1 1 k SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the' other permits. The permit holder s resp. 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 Impro lent 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 constmction 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 f�
ISSUED TO: 1a0 LLC, PROPERTY LOCATION: COL/Wv Q -V5) 4zavv6
S� �57 x� SUBDIVISION C)e�r�ony LOT#,�
facilityType: 0� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fix res? ❑ Yes _X No
Type of Wastewater System** aS'Vl , O vCG'C t CZ N SyS a aX\ (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑) V
2-,) (a
ROD. Sys (Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size t (Do o gallons
Exact length of each trench feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: I1 -Ql�) inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing G Feet on Center
Soil Cover.. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
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: / onderstaad the sutem type specified is different from the type spedfyed on the app/ication. / accept the specilcationr of this permit
Owner/LegaLte2resentafive Signature: Date:
This Construction Authorization is m v cation if the sin plan, plat or the innnded use changes. The construction Anchormen shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subRcompliance 'iiiwtos the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: `1v V Date: 5 b
Constru ion Authorization Expiration Date:
HTE# 16 ' S -3n 453-4L Permit # a�1`13
Harnett County Department of Public Health
Site Sketch
y PROPERTY LOCATON: CooN«ys
ISSUED TO: �c �ti�C �D�L—s LLCSUBDIVISION _OAkc�od LOT#
Authorized State Agent \� ���°RL-:-b bo ��— ub�5wa) Date: apt ti�
IS Cl
CPA 2 1
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1` �1
C.6 V N ct2v S S D l; D 6L.
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: Design Flow (1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
& LTAR
.1941
Structure/
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
ResorClass
Horiz
!�eX -T-L
WL
31 (Zb
3y
5-3x xL
'FA- -bj
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Te(s) Others Present:
Site LTAR