IPACHTE# )6'B-3°1- Harnett County Department of Public Health 29022
hDrovement Permit
A building permit cannot be issued with only an Improvem t Permit
PROPERTY LOCATION: Sp.watass CS
ISSUED T0: �n3��E �ioc�Es LLC, SUBDIVISION LOT # �S
NEWX REPAIR 11 -,EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 9Gp l:1-'1 i'tyj-
Proposed WastewaterSystem Tv' 1Se,
Projected Daily Flow: uc)
GPD
Number of bedrooms: t''1 Number of Occupants: $ max
Basement ❑Yes />5 No
Pump Required�'Wes ❑ No ❑ May be required based on final location and elevations of facilities vv�
Type of Water Supply: ❑ Community A Public Well Distance from well 1 feet Permit valid for. — five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: nk hinix I
SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permit. The permit holder is res onsible for shelling with appropriate governing bodies in meeting their requirements. This
site is subject to revontion if the site plan, plat m the intended use changes. The Improveme 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 in conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1953, .1954, ASS, .1956, .1957, .1958. and AM are incorporated by references into this permit and shall be met Systems shall be installed in accordance
with the attached system layout \ `
ISSUED TO: ONSrrG 1AOsKS LLC PROPERTY LOCATION: Sq" GCM 'S5 G
SUBDIVISION LOT # IS-
Facility Type: SPfl�1 "y�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes "S<No Basement Fixtures? 11 Yes ��-s�No
�o L ✓�ipyC a o,v SYs C—p. (Initial) Wastewater flow: 1'r8 O GPD
Type of Wastewater System** Py
(See note below, if applicable ❑)
PV c'Isa'Df�9 575 (Repair)
Installation Requirements/Conditions Number of trenches 1
Septic Tank Size 10 0 0 gallons Exact length of each trend feet Trench Spacing: _'11 Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover, (� -1� inches
Maximum Trench Depth of: Vi "30 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: h. TDM vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: Sso �G $6 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 spedifed /t different from the qpe spe6fed on the application. / accept the speci(catiom o/this permit
Owner/Legal Representative Signature: Date:
This Ctnsernede non is subject ro revocation if the site plan, plat or the intended use changes. The Concoction Authcnntion shall tort be transferred when there is a change in ownership of the site. This
construction Authorization is subject to c provisions 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: 'I I "% s
Authorization Expiration Date:
HTE# 16 53)6-i2
ISSUED TO:
Authorized '
Permit # 201b --a
Harnett County Department of 1)iblic Health
Site Sketch
PROPERTY LOCATON: Sew G 29 S5
Dov E LOT # 'a5
lel 1
SAW G"S5 C .
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: 0 ,�
Proposed Facility:} _�'�c_)e6,, Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Methcdj:j',AugaBoring ❑ 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
PwitioN
Slope%
Horizon
Depth
(in.)
SOI. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Sapro
Class
.1944
Restr
Honz
1
�5
�.s
T,
�Z
e�
c, -Z
G
`
Lx; 11
�Y, SC)
<5�
)Qc_ i
s3'C C-
vc Js) 56
P5
3
Description Initial Repair System Other Factors (.1946):
Systqm Site Classification (.1948):"_�
Available Space .1945) Evaluated By:O�
System Type(s) P J ^.. S t r(L(J) Others Present:
Site LTAR 5