IPACHTE#z'1 Harnett County Department of Public Health 29681
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
\J _ ,` PROPERTY LOCATION: LiFsSNGLZtvopfl O2
ISSUED TO: M�M6 it0t`�tS LLL SUBDIVISION 0P1"ld ,olrT. LOT# L-A
NENAaj REPAIg ❑ EJ(PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5A� l3yrnfor
Proposed Wastewater System Type: a5°/o ORii0mOm1Yw S�t6x�
Projected Daily flow: 3r, C) GPD
Number of bedrooms: Number of Occupants: max
Basement ❑yes o
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for. Five yeah
Permit conditions: ❑ No expiration
Authorized State Agent:: erpyao Date: -7I a6 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the sice lof other permits. The permit holder is resp Bible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revoation 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 in conditions of this permit..
Pump Requirements: ft. TON 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: / understand the smem type rpeciled it different from the type speciled an the app/ication / acmpt the rpecipratianf a! this permit
Authorization
use
Date:
shall not be transferred when there is a
Construction Authorization ! ubject to liana provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
F
orized State Agent: Date: Z � n
Construction Authorization Expiration Date: �
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .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 T0: -TIC-F-C:-1r'
LLC_ PROPERTY LOCATION: 01a_
5 x65
Facility Type: �i)�«�l
SUBDIVISION C )f;,we 0,4
)< ❑
LOT # i7%
New Expansion ❑ Repair
Basement? ❑ Yes -19 No Base(nent �yxtures? I] Yes No
ra
_:�60
Type of Wastewater System** 0
1NC!>ucxLoa4
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
aS o
tS. (Repair)
Installation Requirements/Conditions
Number of trenches I
Septic Tank Size 10 27 O gallons
Exact length of each trench rd'40 feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: 6 inches
Maximum Trench Depth of: 11 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. TON 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: / understand the smem type rpeciled it different from the type speciled an the app/ication / acmpt the rpecipratianf a! this permit
Authorization
use
Date:
shall not be transferred when there is a
Construction Authorization ! ubject to liana provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
F
orized State Agent: Date: Z � n
Construction Authorization Expiration Date: �
HTE# 1 ''5 -Ll I—TI % Permit # a9 c d 1
Harnett County Department of Public Health
Site Sketch
v �OMGS PROPERTY LOCATON: `460;I ilsiw0a9 p2.
ISSUED TO: []—EZ� SUBDIVISION OP oN LOT # S�`b
Authorized State Agent: Dae:
26,0 374, T,
1
ti►�E
a
y E
�aEA;H6�woaD CQ.
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: 71 \
Proposed Facility:%%,r,`,N Design Flow (.1949 :361)
Location of Site: Property Recorded:
Water Supply: t:k'ublic[j Individual ❑ Well
Evaluation Method;2](Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: E3,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%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structure)
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
LS
S1
0-4
C SL YF'r2
+yP
d -31y
u `-Li
s5%5�
�5
3n
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By:
System T e(s :4"v Others Present:
Site LTAR ..i'$ Z
da, 0 e, �1