IPACHTE# Harnett County Department of Public Health 29025
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: SC.VAV%!V%t4 6LN
ISSUED TO: _Qua) V -49) '4W,4 lAver-xs LLC, SUBDIVISION aN LOT # D!J_
NEW X REPAIRrn EX�NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S�(� `C -i x3;
Proposed Wastewater System Type: �.S' a r�5;pv(�[ s0 zv Y9T65n
Projected Daily Flow: L+-60 GPD
Number of bedrooms: 4— 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 100 het Permit valid for. Ive years
Permit conditions: ❑ o expiration
Authorized State Agent: 1� Date: `t 11 1 b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees 'hagv�nce of other permits. The permit holder is respa 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 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 installation requirement of Rules .1958, .1957, .1954, .1955, .1956, .1957, .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
ISSUED TO: Gat-CLy RoSvtvsOw NdnGs L_C_ PROPERTY LOCATION: ScutPGgatao G "
SUBDIVI ION Q y G iJ T #
S a.wa.TSSCcsor,r(iy"
Facility Type: New ❑ Expansion ❑ Repair
a2D o.CF LO
Basement? ❑ Yes -JK No
Basement Fixtures? ❑ Yes �KNo
Type of Wastewater System**
'lo
Rt tJV C�T � 0,.7
(Initial) Wastewater Flow: `►�ZO GPD
(See note below, if applicable ❑)
26s�070
RFS SYS
. (Repair)
Installation Requirements/Conditions
Number of trenches ]
C y
Septic Tank Size 1 o 4n)0
gallons
Exact length of each trench ICI feet
Trench Spacing: Feet on Center
Pump Tank Size L 0 p d
gallons
Trenches shall be installed on contour at a
Soil Cover: I; a— inches
Maximum Trench Depth of: V% *a-1-1 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. TDH vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / andeatand the sfstem type xpeciped is different from the type spedled on the application. / accept the rpeaWcationc of this permit
Owner/Legal Representative Signature: Date
This Concoction Authorisation is w 1 ation if the sk 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 Authorization is subjecto compliance z!) the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Q6)16 Date: 9
-�onsirlljon Authorization Expiration Date: `f aT
HTE# I(�-S-3'1(.'W1
Permit # a.'l d�
Harnett C'otinty Department of Public Health
Site Sketch
PROPERTY LOCATON: vPPES LNa N G
ISSUED TO: G � N C -s LLL SUBDIVISIONa-P,,sr"C QN ta-
LNI
QQica LOT # �L
�
Authorized State Agent: 4G:�S
OLwf,(� �i vL�Sfl Date:
—J.)
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIASITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Sheet:
Property ID:
Lot #:
File #:
Code:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Li $ Oct, Design Flow (.1949): L -N( a) � Property Size:
Location of Site: Property Recorded: J�
Water Supply: Public❑ Individual
El El Spring
Evaluation Medlod�A eg ❑ Pit ❑ Cut
Type of Wastewater: wage ❑ Industrial Process ❑ 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
minanilogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth W.
.1956
Salim
Class
.1944
Rem
Horiz
1
LS
0 2
O )1
Co S L
1
.(M ' 151"11°
11
Co SLn
ys NQ
l�
-Yj�'
Description InitialRepair System Other Factors (.1946):
System/'
stem Site Classification (.1948) t
J
Available Space .1945) Evaluated By: e<
System Type(s) Others Present:
Site LTAR t— 1n