IPACHTE# ,3- s -3101 Harnett County Department of Public Health
Improvement er it
A building permit cannot be issued with only an Improvement Permit
c PROPERTY LOCATION: ®Lo L)�L.J
ISSUED TO: �P�VY �l }�oMEs LLC-- SUBDIVISION Y`1 Ea- L- f- �Ng6Qr- LOT #
NEWX REPAIR ❑ EYDANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S� (5B� Ly S�
Proposed Wastewater System Type: °ja i�.GS)v Gi ' u N
Projected Daily Flow: t-Y1i ® GPD
Number of bedrooms: Li Number of Occupants: �Q max
Basement ❑Yes -)<r No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: El Community X Public ❑ Well Distance from well ZOO feet
Permit conditions:
Permit valid for:
Xfiye years
❑ No expiration
Authorized State Agent �N, Date: 4 13 13 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees is a of other permits. The ermit colder 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 inten se 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.
1 ! t ! 1
Required 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: S v -J -Y NAC) m 5 Ll—c— PROPERTY LOCATION:
SUBDIVISION M A^n.E. $t=a_� ?') 0GC- LOT # �3 A
Facility Type: s� c� "�'� New ❑ Expansion ❑ Repair
Basement? ❑ Yes :K No Basement Fixtures? ❑ Yes 'XNo
Type of Wastewater System ** 2�/G PE ouC„ 10 rf (Initial) Wastewater Flow: LW (D GPD
(See note below, if applicable ❑)
Qu m� o o °jed C- Vr-7 s (Repair)
Installation R uiirements/Conditions
Septic Tank Size f ® <n 0
gallons
Exact length of each trench t 'QV�3 feet
Trench Spacing: Feet on Center
Pump Tank Size L-00 Q)
gallons
Trenches shall be installed on contour at a
Soil Cover. } inches
(f F VA E:VZ)6 V)
Maximum Trench Depth of. cat-} 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. TDH vs.
GPM
inches below pipe
Conditions: `F Qvmp S
�cEoE�
Sw �i t 1v e'C ��i QQ'�052'
Aggregate Depth: inches above pipe
�' inches total
* *If applicable: / understand the system type specified is different from the type specified on the app /nation. !accept the specifications of this permit.
Owner /Legal Representati i nature: Date:
This Construction Authorization is subject t tion if the sitge 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 Construct[ 'zation is s t to liance ' h 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: 3 1
Co str Authorization Expiratjon Date: )31 It
HTE#
ISSUED TO:
Harnett CO"llty
I-Lc-
Permit #
Public Heclltll
Of
site s'lketell
pRopEwTy LOCATON' (0 , l LOT #
I A ki fn Q., (--, N ,-- 9—,Q- Le �
Subulvl-)
Authorized State Agent:
�61
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: Li ZC A-'A Design Flow (.1949): x'60
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:l�i\_Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: rm Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
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
Restr
Horiz
2.
Q-5
G S
xFAL ' `AR
\A=4 -N r�sl^cQ
5..6
Description
Initial
S ste
Re air System
Other Factors (.1946):
Site Classification (.1948): j
Evaluated By: !PC
Others Present:
Available Space (.1945)
System T e(s)
/
p V f'1Q a5`
Site LTAR
.4