IPACNTE#1S-5 3n99 3 Harnett County Department of Public Health 28532
Improvement Permit
A building permit cannot be issued with only anprovement Permit
PROPERTY LOCATION: N t --N
ISSUED TO: �A riA Ot* srTG �r LLC, SUBDIVISION e�f N(vC�5 moat .n LOT #
NEWV REPAIR ❑ EXP% 11ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SCO CL1Hf "� O'
Proposed Wastewater System Type: 9. to vcsp o J 3�t�
Projected Daily Flow: 3Gd GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑YesNo
Pump Required: ❑Yes o ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community XPublic ❑ Well Distance from well 1OC) feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: V4-- vt> Date: 91 V01 1S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in
no way guanmees @e issua her permits. the permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plaC or the intended use changes. The Improvement ermit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the taws 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 .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 xcordane
with the attached system layout
ISSUED TO: IA*1'1 O,ui )"' E-Wnc&S LLC, PROPERTY LOCATION: PevistJit,- LT4
SUBDIVISION 8 zs GG5 'FPfZrc1 LOT # 1 L
Facility Type: `�Fp " 'X New ❑ Expansion ❑ Repair
Basement? ❑ Yes ---*§i( No Basement Fixtures? ElYes
** ax
Type of Wastewater System
Sm/o PLZDuCtC cs,u ybT6tr (Initial) Wastewater Flow: 3L0 GPD
(See note below, if applicable ❑) V
a� l o
IDVGzn 0 (Repair)
Installation Requirements/Conditions
Number of trenches `a.
Septic Tank Size 1 e C) cl gallons
Exact length of each trench "110 feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: 1'l=3 C inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: "�'l 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 SEPTI( 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 r)rtem type rpedfed it different from the type spedbed on the application. / accept the rpecihcatims of thir permit
Owner/Legal Representative Signature: Date:
This Construction Authori:a' is subject to revo if she site or the intended use changes. The Construction Authorization shag not be transferred when then is a flange in ownership of the site. This
Construction Autboritation -e omplianm widt t isions of _ d Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: N1% �� \r --s Date:
Date:' T 16) of d
HTE#
Permit # M53a
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:_ L/�.Q�,�m
ISSUED T0: isT� s S6 NOt�(5 Ll G (_SUBDIVISION �2 6GS FALOT# 6
Authorized State Agent: WC t 1 ULK�{�5 Date: 91 l a
)5-
90C."")CM Lo
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: 9// a /15
Proposed Facility: Design Flow (.1949):
Location of Site:Property Recorded:
Water Supply: b1publicEl Individual ❑ Well
Evaluation Method:Auger,�mg E] Pit ❑ Cut
Type of Wastewater: [1 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
.1941PROFILE
OTHER
FACTORS
Profile
Class
& LTAR
.1941
Structural
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Salim
Class
.1944
Rear
Horiz
S4
K ls'C I
�_r T
-za
LT
�� �vj.✓P
,)q
G / (f-
46�- j;')e
C -4s
G) Li
fF��rN/
Description Initial Repair System Other Factors (.1946):
System Site Classification (1948):
Available Space(. 1945) Evaluated By: o -T
System Type(s)) 2 Others Present:
Site LTAR 5 ,