IPAC 73HTE# � �_ �9:u Harnett County Department of Public Health 29899
Imarovement Permit
A building permit cannot be issued with only an Improvement PermitL_
PROPERTY LOCATION: 115 S,v�+¢tn PI�[c�,l�,lu CTcS 11�` )
ISSUED TO'xhr+vty SUBDIVISION [_,3rr-rt P\c wA.-, Qct LOT # 331<
NEW IT, REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: q6n— So' X y 5s5���
Proposed Wastewater System Type: Q5�h a \ . S, s
Projected Daily Flow: 34C> GPD
Number of bedrooms: 3 Number of Occupants: i, max
Basement ❑Yes
Pump Required: []Yes ❑ No ®'Nay be Lequired-based on final location and elevations of facilities
Type of Water Supply: ❑ Communityubljc ❑ Well Distance from well feet Permit valid for:
Permit conditions:
ears –
11 No expiration
Authorized State Agent: AL-A�> Date: 03 J y l 201 P_ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permim The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. 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
squired for Building Permit)
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references raw this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: L_Gm G0 U� PROPERTY LOCATION: 115 nrw— tf2�
SUBDIVISION Lvcc,rN P1 1w�.' n LOT # 35
Facility Type: 3e,2 Sri 1 X d6 5 P�> CT]—Fte- ❑ Expansion ❑ Repair
Basement? ❑ Yes 9--fo— Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" '2 -,/' ae A > Lam: on 5s 5 EeM (Initial) Wastewater Flow: 3G d GPD
(See note below, if applicable ❑)
Q6% &ASS)wc n 5 )-5 _ (Repair)
Installation Requirements/(onditions Number of trenches 3
Septic Tank Size I bc)(> gallons Exact length of each trench 4—S feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. Z) ;L- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: h. TDH vs. GPM
Conditions:
Trench Spacing: 7 Feet on Center
Soil Cover: IQ inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
KJA inches below pipe
t-Ak inches above pipe
N34Cs_ inches total
"If applicable, / understand the system type specified is different tom the type specified on the applicadon. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subject to revocation if the site plan, plan, 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 subject to compliance with the 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: C'3/at 1 -ZiuF'
Construction Authorization Expiration Date: ay2--s
HTE# K�` S — g 3a -4 3 Permit # g4!�
Harnett County Department of Public Health
Site Sketch
PROPERTYMATON: 1i'S :5,,.pky¢m PIc�¢�GlurtG(lZ•�( 11�
ISSUED TO: L-c,,mc n 631J�S SUBDIVISION C "cr-Zi\ Blcr\ :cam LOT # �S
Authorized State AgentDate: G3
as I
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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: LLc., A. 4311�_5
Address: c, ,r-cv� P tw�.�.-.k.on Date Evaluated: cxR/-Rg/&
Proposed Facility: LcA_ 35 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: �S,,age
dividual E] Well
Evaluation Method Auger B❑ Pit ❑ Cut
Type of Wastewater: ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: &,63 Arc
❑ Spring ❑ Other
❑ Mixed
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
MineralogyColor
.1942
Soil
Wetness/
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
p
I —/
VX
t%&�
SrLL55SYy
L/�?
G,SL
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): P�oa.St�onalllj�t(o�.
Available Space (.1945) Evaluated By:
System Type(s) 5 5 oPri a- Others Present: 4i n&etza (,)CI -i n , ev_ iS
Site LTAR