IPACHTE# IG -5-3'n03 Harnett County Department of Public Health 29035
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: 1 s LC3b4= iP
ISSUED T0: $ s n V \LO(��, L LG SUBDIVISION Goa,v tr\ EtvN5 LOT # Cl
NEVrA!9, REPAIR ❑, EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 'D 'cs
Proposed Wastewater System Ty pe: a5°l v �v M s 0 w5 573CE sr,
Projected Daily Flow: 3 6O GPD
Number of bedrooms: 3 Number of Occupants: G max
Basement ❑YesNo
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: n" Date: 1 I ;) �� G SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees then of other permits. The permit holder is mponsi 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 Improve tint Permit shall not be affeaed 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, .1951, .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 p�
ISSUED TO: R) 96Vvh-nEQs LLC PROPERTY LOCATION: ill LQNAPS N {��
SUBDIVISION GVRtin, EvtytS LOT #
Facility Type: SF�CbBx�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ YesNo
Type of Wastewater System" :L!0 r P%GOycr7) 0 W Is —IsC— fl� (Initial) Wastewater Flow:2C6 GPD
(See note below, if applicable ❑) q
R'Sus . 'SJ -3 . (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size 1000 gallons Exact length of each trench '7 S feet Trench Spacing: Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. C. inches
Maximum Trench Depth of: A 'a' inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-I/4" 36' above the trench bottom)
in all directions)
Pump Requirements: h. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: 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 spedffed it different from the type spedhed on the app/iadon. / accept the rped&ationc of this permit
Owner/Legal Representative Signature: Date:
This Construction Authonatioris- remcnon 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 sin. This
construction to corat visions 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:
Authorization Expiration Date: `I
HTE# K.-53`1!Cr3 Permit # ag03S
Harnett County Department of 1-`ublie Health
Site Sketeh
PROPERTY LO(ATON: 1 L.GHSA�N
ISSUED TO: �U l �G25 UK, SUBDIVISION�� i 61 F— Nrv,S LOT #
Authorized State Agent: i 10 a Date: 1) I -ix'
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILISITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: C3Z,� Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: .Public❑ Individual ❑ Well
Evaluation Method:12,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 %
Hofnon
Depth
(In.)
SOH. 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
Rest
Horiz
.�
LS Q2
0-_3
G 1-5
\JFt
l
F5
J 61
Description Initial Repair System Other Factors (.1946):
Systetif Site Classification (.1948): V5
Available Space(. 1945) Evaluated By:cr[
System Type(s) 1 Others Present:
Site LTAR t