IPACHTE# 1 4 °-5 -3300(o Harnett County Department of Public Health 27905
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: 08 lilP-I -L C, U-L,~
ISSUED TO: Sc::vVY-y 14om'C5 L_L_C SUBDIVISION Q> ®GC LOT # JS-
NEW`>� REPAIR ❑ EXP ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO t55 4"-1'�
Proposed Wastewater System Type: Qu me—To ---45'10 1RZ0\ -' 0 ,a
Projected Daily Flow: ® GPD
Number of bedrooms: Number of Occupants: _max
Basement []Yes X No
Pump RequireZAes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well V100 feet Permit valid for: AFive years
Permit conditions: ❑ No expiration
Authorized State Agent:: — Date: 1 Lo SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc ermits. The permit holdel is res onsib a for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement . 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
Reauired for Building Permit
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: 5 Q1'4 q-1 1Aa M C.5 E —J—C -- PROPERTY LOCATION: M P�r,N {�G.Z.a— CN(ZGt—E
SUBDIVISION YhPMNE �j`a.Lt-... V1nGF— LOT #
Facility Type: 5yC) �xLl %) X New ❑ Expansion ❑ Repair
Basement? F-1 Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System" 0me i r�57o (�DvG"51ON C3?/9Tti'41 (Initial) Wastewater Flow: '�RQ) GPD
(See note below, if applicable ❑) P u rnP ®, ® 1\ d -c1Z! r QZ
pO� b r1 (Repair)
Installation Requirements /Conditions Number of trenches -
Septic Tank Size L 04:5 0 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/ -114" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH 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 system type specired is different from the type specilled on the app /ication. / accept the specipcationr of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization i; whiect to revocation if the site plan. plat or the intended use changes. The Construction Authorization shall not be transferred when there is a chance in nwnershin of the cite_ Thic
Construction Authorization is subject �complian lrthe�rovisi 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 L
Con tion Authorization Expiration Date:
HTE# VA —5— Permit # a'5 0-5
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Methoc
Type of Wastewat(
Applicant:
Date Evaluated:
Lia3�2 Design Flow (.1949):''��
Property Recorded:
'IRPublic[l Individual ❑ Well
Auger Bo ing El Pit ❑ Cut
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
' —
,s
C;
U
`B-)c
Description
Initial
S ste
pair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: CJ \
Others Present:
Available Space (.1945)
v
System Type(s)
J W
Site LTAR
LA 5
' —