IPACHTE# Harnett County Department of Public Health 30003
Improvement Permit
A building permit cannot be issued with only an Iovement Per ht
v PROPERTY LOCATION: 500:;`
ISSUED TO:L1�EE �i0(Yl`��j LI SUBDIVISION Ciwvts"+On(i LOT# Ito
NEVV�bq REPAIR ❑ EAPANFLON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sc'fl CSC�x L-
Proposed Wastewater System Type: Pu rw P N a a'�"o RE&uCS104 S y?TG en
Projected Daily Flow: G bC!) GPD
Number of bedrooms: 5 Number of Occupants: max
Basement ❑Yes *I<No
Pump Require0KYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: ` RL— Date: 3 I I ty SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way gua the issuance of other permits. The permit holder respo ible 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 in 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 .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: MG 'e6 H f`� LLC PROPERTY LOCATION: Ooc--g. 9,2
SUBDIVISION OA,<tw O t4 --T LOT # a9
Facility Type: SF��6 *s�� �K New ❑ Expansion ❑ Repair
Basement? ❑ Yes 'a No Basement Fixtures? ❑ Ye ❑ No
Type of Wastewater System** �.A en O 2Sb�e REDvGis ON Sy5ZF-n (Initial) Wastewater Flow: LO GPD
(See note below, if applicable ❑)
Pu l e 333) o RGQ , (Repair)
Installation Requirements/Conditions Number of trenches t
Septic Tank Size 1 )� gallons
Pump Tank Size L op O gallons
Pump Requirements: ft. TDM vs.
Conditions:
Exact length of each trench "21-00 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: _ % inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Trench Spacing: 1 Feet on Center
Soil Cover. Q 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.
inches below pipe
inches above pipe
inches total
**If applicable: / undeatand the system type speciled if different from the type speciled on the app/icadon / accept the specifications of this permit.
Signature:
Date:
This construction Authorization is subject hijr2jocasrion 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 is subject to compliance � t s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: IK -As Date: 3 .s3
Cons coon Authorization Expiration Date: 31
HTE# 5 H3Z b5
Harnett County Department
Permit # 3oa0
of INiblic Health
Site Sketeh
v ` ` PROPERTY LOCATON: C5 o cls
ISSUED TO: M c K -C 1 0 m t:5 LLC- SUBDIVISION Oaxr.oi.TT LOT # aq
Authorized State Agent: CQLI Ift 101-*,(- OQ Date: 3)13�)`S
tOS
SuuNy35�.o0�F. u -r1
aOo'
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: ��,Qqt ;A Design Flow (.1949): GC, '
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method!:RAuger Boring ❑ Pit ❑ Cut
Type of Wastewater: _M -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
Mineralo
,1942
Soil
Wetness/
Color
.1943.1956
Soil
th (MJ
Sapro
Class
.1944
Rear
Horiz
i
-10
0 30
G 5
Jas ros 1++"P
p
LSn
83SI�
S-�
Description
Initial
Repair System
Other Factors (.1946):
System
Site Classification (.1948):?
Available Space (.1945)
✓
✓
Evaluated By:L!
System Type(s)
P V+•xa
s ,�
Others Present:
Site LTAR
race Q v6 _�k