IPACHTE# )� -5 3 C-�- I Harnett County Department of Public Health 28742
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
��iDr�6s LLC SUBDIVISION
LOCATION:_ C. vV' IS)06 Otv
ISSUED T0: G SUBDIVISION C7PLM0-7--� LOT # 5J
NEW AEP�IRp TSANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SF9
Proposed Wastewater Syste�m� T�yypee: V U .Q . ts VCCi a rs Sy5T6. a�
Projected Daily flow: ` (D GPD
Number of bedrooms: 4Number of Occupants: max
Basement ❑Yes KNo
Pump Required: Z? e ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -,M, Public ❑ Well Distance from well 1 O G feet Permit valid for. five years
Permit conditions: ❑ No expiration
Authorized State Agent: `�! si-)S Date: 5 13 S)) G SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the . of otlser permits. The permit holder Lis respriisible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat or the rounded 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 conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and insullation requirements of Rules .1950, .1952, .1954, .1955, .1956, .IM, Also. 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: SMd-c-E. VTc)sn63 LLC. PROPERTY LOCATION: C-dvr.5Q *o,Q r 1ln
SUBDIVISION C�)ALwMt) T LOT #
Facility Type: Sx9 New ��❑/.' Expansion ❑ Repair
Basement? 11 Yes '1k Basement Fixtures? e❑ Yes Nfo
Type of Wastewater System** v MQ a r S i>vCAO N (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
�)u ff% ? V c) Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size l b o o gallons Exact length of each trench 36 U feet Trench Spacing: Feet on Center
Pump Tank Size s. 6 0 o gallons Trenches shall be installed on contour at a Soil Cover. inches
Maximum Trench Depth of: 11-4 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. TDM vs. GPM
Conditions:
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / onderriand the ryrtem type tpedfed it different from the type rperrbed en the app/kation. / accept the fpecihcanors of this permit
Owner/Legal Representative
Date:
i is n is subject to reraatio if she 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 Authorieati bect to co 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: 51Z 1 -C
Constrhuction Authorization Expiration Date: 5 111 a )
HTE# ) S;,-5 ?�� W Permit # 4Z
Harnett County Depailinent of Public Health
Site Sketch
PROPERTY LOCATON: Co U (36 � 2.
ISSUED T0: r)cl CX s LLC- SUBDIVISION 5N'< ^o LOT #
Authorized State Agent: 115 6 i oL4�,Zo Date: d5 1116
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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:
Address: Date Evaluated:
Proposed Facility: L, 9�r Design Flow (.1949):x- G , ,tel
Location of Site: 2sv Property Recorded: "'
Water Supply:Public❑ Individual E3Well
:❑.
Evaluation Method-Augerng ❑ Pit ❑ Cut
Type of Wastewater: �0 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
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
c-
PS
�5
1
1
o.
Ll
3�
Description Initial Repair System Other Factors (.1946): Q�
S ste Site Classification (.1948)
Available Space(. 1945) Evaluated By: -8'_\
S stem T e(s • Others Present:
Site LTAR ,