IPACHTE# 1(,,-5-3V7G9 Harnett County Department of Public Health 28750
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
M `\, \, l_L_L PROPERTY LOCATION: HF- W--S,.ea00D �at
ISSUED TO: TEL 1y SUBDIVISION LOT # I-)_
NEWX REPAlk ❑ ---kXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SRS`J h ^ yWc3'Y
Proposed Wastewater System Type: 64 - vUT%dN is zcn
Projected Daily Flow: ` Q=) GPD
Number of bedrooms: :�i` 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 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: r Date: 6 5 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is c of other permits. The pemnt holder is responu le for checking with appropriate governing bodies in meeting their requirement. This
site is subject to re"cavon it the site plan, plat, or the intended use changes. The Impro ent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
she 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 Auks .1950, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in actordana
with the attached system layout
ISSUED TO: 1 '��EC V\ o r. en LLC. PROPERTY LOCATION: O2
SUBDIVISION OP`LWN0N'1 LOT #Ste_
Facility Type: &F9(.F' yA3-)D New ❑ Expansion ❑ Repair
Basement? ❑ Yes A No Basement Fixtures? ❑ Yes 'XNo
Type of Wastewater System** `a % 9,tcDUC1'�'x ons (Initial) Wastewater Flow: SAO GPD
(See note below, if applicable ❑)
2.IVlo V-Z�6n. s -If 5, (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size � oo d gallons Exact length of each trench 60 feet Trench Spacing: Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6" inches
Maximum Trench Depth of: 1 a 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: M. TDM vs. GPM
Conditions:
inches below pipe
Aggregate Depth: 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: / understand the system type speciled it d1herent Gum the type speciled on the application. / accept the sped97adonc of this permit
Construction Authorization is
Authorized State Agent:
u the intended use changes. The Construction Authorization shall not be transfen
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this
M� Date:
Constn inn Authorization Expiration Date: _
Date:
SEE ATTACHED SITE SKETCH
HTE# Q)-51
ISSUED TO:
Authorized State Agent:
Permit # a1 TZ)
Harnett County Department of Public Health
Site Sketch
AwCper c,Uv— M Py d tCFE�
Faor, oaaw�N s
PROPERTY LO(ATON: " sS )—Aca.009 S)Z
SUBDIVISION C!)ke-y aij� LOT # V
Jvj
t 3i'
H6t�,1'�GL,weo P4
Date: 49h� 14
317
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOMJSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility:3 Design Flow (.1949): Z&Z)
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:( Auger Ybring ❑ 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
4
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
ClassTextureMineralo
& LTAR
.1941
Structure/TC,.
1941
nsistence
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
S
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948)
Available Space(. 1945) Evaluated By: f5�,
System Type(s)) Others Present:
Site LTAR