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IPACHTE# Harnett County Department of Public Health 28612 hDrovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: g•sosv L.a ISSUED TO: M 4c) M(�.-> LLC SUBDIVISION C) o c o v LOT # Lj� NEW REPAIR ❑ ERPMIS�ON ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: `�lz Csb x6�p"J� Proposed Wastewater System Type: QS'O/o weeD�s[!�toa,t Syg Projected Daily Flow: X80 GPD Number of bedrooms: 't's Number of Occupants: max Basement []Yes 'a No Pump Required: ❑Yes _XNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 5 (!-�t7 feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent: Date: \11S SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issu f other permits. The permit holder s responi 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 Improve t Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the proviuom of the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Building Permjt) 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 layput ISSUED TO: 'A O cnC 7 LL C_ PROPERTY LOCATION: g So N Lrs SUBDIVISION Q) ;'goat LOT # '—)I Facility Type: 5V 0 � 6�� 'X New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'I�No Type of Wastewater System** a S��d Qks�>rac--ra v.,ici Sys ss> (Initial) Wastewater Flow: LY GPD (See note below, if applicable ❑) `x..510 �O - SysTG r() (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size t o old gallons Exact length of each trench ab feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: �.T-1 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: h. TDM vs. GPM Conditions: Trench Spacing: 0] Feet on center Soil cover. tk inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. 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: / ondetswd the Tatem type rpedfied it different from the type rpedh'ed on the application. / acrept the spechfcadonr of thin permit. Date: This construction Authoruation is subject to re ' i� Ian, plan, or the intended we changes. The Construction Authorization shall not be transferred when there h a change in ownership of the site. This Construction Authorization is subjill compliance a the laws and Rules fm Sewage Treatment and Disposal and to the conditions of this Permit SEE ATTACHED SITE SKETCH Authorized State Agent:N�� NV � 11(; y Date: _ Construction Authorization Expiration Date: NTE# =�73`b Permit # aO61 f� Harnett County Department of 1'ablic Health Site Sketch PROPERTY LOCATON: Q1v:,v J L+y ISSUED TO: L LL C. SUBDIVISION ©tam roc z r LOT # Authorized State Agent: :�Ry��5 `Ql-'-6-L--,Lh-'� Date: �d Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOILISITE EVALUATION for ONSITE WASTEWATER SYSTEM Owner: Applicant: 1/j Address: Date Evaluated: / ///d Proposed Facility: Design Flow (.1949): Location of Site:Property Recorded: Water Supply: Water Pub ❑ Well Evaluation Method: Auger Bo ' g ❑ Pit ❑ Cut Type of Wastewater: U 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.) SOH. MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LIAR .1941 structure/ Texture .1941 Consistence Minemlogy .1942 Soil Wetness/ Color .1943 Soil W. .1956 Sapro Class .1944 Restr Horiz C IN Q Description Initial Repair System Other Factors (.1946): 19 S st Site Classification (.1948): 3 Available Space (.1945) Evaluated By: GX System Type(s) Others Present: fit) Site LIAR