IPACHTE# 1 -� SLi13-75 Harnett County Department of Public Health 29651
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
GA,vy (7 `i PROPERTY LOCATION: O,.cySyal
ISSUED T0: \1N SO N dc's ES Lu SUBDIVISION Z'cwa qT MA I LOT #
NEW 14' C000C'xti� PANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S
Proposed Wastewater System T e: D -S to QEOV Gs is., Syt ;Fen
Projected Daily Flow: X410 GPD
Number of bedrooms: N Number of Occupants: _max
Basement ❑Yes 15RI No
Pump Required: ❑Yes ❑ No tX May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ';K, Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: �� 'Q4> 1� Date: C- I� SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees other permits. The permit holder is responsible 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 Imps t 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 mnstmctlon and installation requirement of Rules .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 arc incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: Gga,-4 Rc9a,N5014 'A0R,6S LLC- PROPERTY LOCATION: C)w k)S-4-41
SUBDIVISION Se1FlNPi�Hc,N �Y LIX-7gs,(7� LOT #
Facility Type: 6FD �4 6 x�Z� X New ❑ Expansion ❑ Repair
Basement? ❑ Yes '�R No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System** 2S°Jn RC-.ovaF,-,0 Sye'sEsh (Initial) Wastewater Flow: y`bO GPD
(See note below, if applicable ❑)
Pvmp �0 2. 0 94ESZ1,S15. (Repair)
Installation Requirements/conditions Number of trenches F
Septic Tank Size 10 ad gallons Exact length of each trench 'aZ►0 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. 1$"3O inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDM vs. GPM
Conditions:
Trench Spacii: Feet on Center
Soil Cover: 1$ inches
(Maximum soil cover shall not exceed
36 above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. 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, l understand the ryrtem type specified /J different from the type specified on the app/iratiaa / arrept the rperiprationr of this permit
Owner/Legal Representative Signature: Date
This Construction Authorization is subject oration if the site plan, plat or the intended use changes. The Construction Authorimtion shall not be transferred when there u a change in ownership of the site. This
Construction Authorization is s 'e ompliance .sions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: >- S Date: 661 7
q�ction Authorization Expiration Date:
NTE# E 7 -5 w \3l S Permit # 3.9 65
Harnett County Department of Publie Health
Site Sketch
PROPERTY LOCATON: Opo l�St)a
ISSUED TO: c p 09\ �t~L SUBDIVISION �o\�Nn �NgN TPy�az Ta,v cz LOT #
Authorized State Agen[OLty ECL i0LK300 Date: �I Iii
41-
2GP���
C-1
c/ L 01-0 os �\aI S
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: l
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): ',103t
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Bonng ❑ 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
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
,1942
Soil
Wetness/
Color
.1943.1956
Soil
Depth (IN.
Sapro
Class
.1944
Restr
Horiz
L.
0-75
G s t_
vFa 4514
•36-'��
=�°SLS
(� SS�`aQ
a5�"
tl4
6 S L
YC� tv5'" Lf
..11
S CL
V9
-n-'A
�La`
v'e 5515
PFS
Description Initial Repair System Other Factors (.1946):
SysteFh Site Classification (.1948):{
Available Space (.1945) Evaluated By:'
Type(s)
S stem"/ Q 11J
Y t Others Present:
Site LTAR ^