IPAC RHTE# 15—S-3� 19 Q, Harnett County Department of Public Health 28544
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: FP Lf o N 9.Q
ISSUED TO: VRSQ\'fi SUBDIVISION LOT #
NEW'K REPAIR ❑ // EXPANSION
Type of Structure: _111
Pvw iiOM6 \1U %(7�
Proposed Wastewater System T(pe: o �FiDv�SyD J Sys t^c�
Projected Daily Flow: 3(00 GPD
Number of bedrooms: 3 Number of Occupants: 6 max
Basement ❑Yes 5<No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes �.No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 * Net
Permit conditions:
Permit valid for:
Five years
❑ No expiration
Authorized State Agent: 1i,' Date: Z 71 1S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees s ante of other permit. The permit holde 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 intended use changes. The cal orement Permit shall not be affected by a change in ownership of the site. Thh 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
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in a(cardana
with the attached system layout.
ISSUED T0: VL.4cL&4C— ,yasQvL-2 PROPERTY LOCATION: N 'AL._o t
SUBDIVISION LOT #
Facility Type: 1'laN Name ���^%�V) `,K New �,❑ Expansion El Repair
Basement? ❑ Yes No Basement Fixtures? [I.tel Yes No
Type of Wastewater System** J., 0 iZGDvc-sCv U -N (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
a•s`16 PCO. . (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size l 000 gallons Exact length of each trench 't(Z5 feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: I f)— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TUN vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. r6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE 1OFT. 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: / underrhnd the system type specified it different from the type specified on the application. / accept the specifications of thin permit
Signature:
Date:
we shares. The construction Authorization shall not be transferred when there is a
construction Authorization is to compli "ons 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: V0145
nstruction Authorization Expiration Date: l w
HTE# 15 - 5--37 1 e\6 P, Permit # a$
Harnett County Department of Public Health
Site Sketch
`I PROPERTY LO(ATON: FNL-C-0r,,3 4
ISSUED TO: gV62 SUBDIVISION LOT #
Authorized State Agent-.�\`�OL,-464. NOLXtJC (— Date: 11!5I 9LS
f -A `. el N {LV
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIUSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility. -5 cam, Design Flow (.1949): 3,C c7 SC'�
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: –Dewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horimn
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure!
Texture
.1941
Consistence
MineralogyColor
.1942
Soil
Wetness/
.1943
Soil
Depth IN.
.1956-
Sapro
Class
1944
Restr
Horiz
L5
ca.-�
0" �
G S Z
V ♦� ti3 �'vQ
(5
53 V— u--
FCI C&)w
r5
3
G
53 x.S(L
FLa5Vff
Pj—
Description Initial Repai System Other Factors (.1946):
System Site Classification (.1948):Q
Available Space(. 1945 Evaluated By: O.
S stem T e(s q"� v Others Present
Site LTAR