IPACHTE#_)8ss—w.�as' Harnett County Department of Public Health 29645
Improvement Permit
A building permit cannot be issued with only an Improvement
( \ p n � " PERTY LOCATIONZ
ISSUED TO W law�F (� ( j1�SylF a—Sr16B1VISION LOT #
NEW l REPAIR f 1 EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System T%pe^: J
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes
Pump Required: []Yes ❑ No IQ May be required on final location and elevations of facilities
Type of Water Supply: ❑ Community El Public IG Well Distance from well47/O /f feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized Stat Jr Date: `j — I S� SEE ATTACHED SITE SKETCH
The issuance of thu pe by the alth Deparonent in no way guarantees the issuanu of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement:. This
site is subject to revocation i the site plan, plat or the intended um 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 to, Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: LA) D . e5n-kA . PROPERTY LOCATION:SeL--2M ,-5— _ti;Qc d
W'jl,,Ilfp�a,
SUBDIVISION LOT #
Facility Type: Nesion ❑ Repair
Basement? ❑ Yes No Basement Fixture{{y ,,❑ Yes
Type of Wastewater System** ed-- ✓P�'� (Initial) Wastewater Flow: 3(00 GPD
(See note below, if applicable ❑) //JJ/�
�.,VC ep r
Installation Requirements/Conditions Number of trenches I --'%
Septic Tank Size gallons Exact length of each trench 100 feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: :Te----1nches
Maximum Trench Depth of: 2q 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: h. TDR vs. GPM inches below pipe
_ Aggregate Depth: 2 inches above pipe
Conditions: �iQl %%r (i31s7 f�D /Z inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / onderstand the s}rtem type specified it different from the type specified on the app/kation. / accept the specifications o/lbis permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation 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
tonstrutuon Authorization is subject to compliance with the provisions of she Laws and Rules for Sewage Treatment and Disposal ad in the
conditions of this permit )tt AI IALHtU lilt )AtIUI
Authorized State JDate:�J
Construction Authorization Expiration Date: 3—, 23
HTE# �VYVS Permit # �V6 vs -
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: �DDs / .7ISSUED TO: D �j[.. �ax,4BDIVISION LOT #
Authorized State
pL)i
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Date: 3-4-19
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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: VJ'0
Address: Date Evaluated:
Proposed Facility: 5r`ql� Design Flow (A 949)�e )
Location of Site: �,/ Property Recorded:
Water Supply: � �a Public❑ Individual ❑ Well
Evaluation Method:DAuger �BBorinn� ❑ Pit ❑ Cut
Type of Wastewater: �}�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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
s�
Ot�( S*(,S- R
y2•/
s-
6.
C' c +rte
b�i4$36a
Description Initial Repair System Other Factors (.1946):
system Site Classification (.1948): $
Available Space (.1945) Evaluated By:
System Type(s) Others Present:
Site LTAR