IPACHTE#`I Harnett County Department of Public Health 29732
Improvement Permit
A building permit cannot be issued with only an Improvemenyferm
Lit
PROPERTY LOCATION: D4 9
oc
ISSUED TO: M�yt-E 6 AO t-`65 LL. C— SUBDIVISION 0 Q Orr, 0 sT LOT # As -'2_
NEW REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: '���+ 9-cr;oy C1Cl Q f
Projected Daily Flow: 34, GPD
Number of bedrooms: _?L Number of Occupants: 6 max
Basement []Yes No
Pump Required: ❑Yes o ❑ 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:: Date: `-0113 1 Q SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantee ce of other permit. The permit holder is responsible for checking with appmpriate governing bodies in meeting their requirements. This
sire is subject m revocation if the site plan, plat, or the intended use changes. The Imps ment 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
Reouired for Building Permit
The construction and installation requirements of Rules .1950, .1952, .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: 1Ac,Y-i6 I -)05' -c -,s LLC—PROPERTY LOCATION: O tscs 14
5` Q `3y.xLit) SUBDIVISION C)va',cr o 17 -,LOT # l5w
Facility Type: X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ Nis
Type of Wastewater System" 25'�o RGOdC1�uN �iEsr (Initial) Wastewater Flow: .3(ZO GPD
(See note below, if applicable ❑)
aS Io 9,y, , S,ts- (Repair)
Installation Re uirem nts/Conditions Number of trenches i
Septic Tank Size T oo gallons Exact length of eachtrend d
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: A
Pump Requirements: ft. TON vs.
Conditions:
(Trench bottoms shall be level to +/•1/4"
in all directions)
GPM
feet Trench Spacing: 9 Feet on Center
Soil Cover. 4�—Iinches
inches (Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL 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 soesi is different from the type speciled on the app/kation. / accept the specifications of this permit
Owner/Legal Repr tative Signature: Date:
This Construction Authorization is subje7rie4tyoation 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 site. This
Construction Authorization compfiamc`e��"YluiuLns of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: —1 i$ Date: LO 13 1
Co Jon Authorization Expiration Date: t
HTE# 1--) _5—�� �� Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: DOC -IS �D
ISSUED TO: �A omcr. LLQ— / SUBDIVISIONS Mo T LOT # IStS
Authorized State Date: 16I13I t7
t as'
350
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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:
Proposed Facility: 3 (302(" Design Flow (.1949): 36 d SPc�
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auer Boring El Pit El Cut
Type of Wastewater: IQ 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
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Rear
Horiz
LS
0-44
L5
\j,,X0'Jq
V°' SS %54
c2oc 3
pf
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available Space 1.1945) Evaluated By&
System Type(s) 9-6` / Others Present:
Site LTAR