IPACHTE# O'i-' - 2A-18V Harnett County Department of Public Health 25130
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
~~J PROPERTY LOCATION:/YSd
ISSUED TV Z 06~ C~usTnec SUBDIVISION -)W CA6, . 5;c LOT # s
NEW 9 REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Rb
Proposed Wastewater System Type: ZS'% ee-bu CrLn)
Projected Daily Flow: GPD
Number of bedrooms: -~S Number of Occupants: /0 max
Basement ❑Yes Q No /
Pump Required: ❑Yes No ❑ Mae required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 9 Public ❑ Well Distance from well feet Permit valid for EJ Five years
Permit conditions: rnor✓~ 7-z ❑ No expiration
Authorized State Age Date: 7j /Z-" 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by Health Department in no way guarantees the issuance of other 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, plat, or the intended use 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 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, .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: Z~~~/~ cosy c~~ PROPERTY LOCATION: ,5/2/y$D -e-6
SUBDIVISION ✓of csrl~ LOT #
S'
Facility Type: -5 - /New Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes Lit No
Type of Wastewater System** ° CJ er~r_ (Initial) Wastewater Flow: GIRD
(See note below, if applicable
Z06 r7~UU~l1tiJ cR17W'5 5Z4&Pir)
Installation Requirements/Conditions Number of trenches 3 ' a2 zf
Septic Tank Size 1200 gallons Exact length of each trench Jqs- ox &bJ feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G inches
Maximum Trench Depth of- ZS" 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: ft. TDH vs. GPM fo inches below pipe
Conditions:
Aggregate Depth:
2 inches above pipe
/Z- inches total
If applicable: /understand the system type specified is different from the type specified on the application. l accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subiPrt to rPvnratinn if tho cite i,hn Mm - the htondod - A- - The a,,.6,..6,d,.,, .h„n A ,..k....L_._ _ _L:_ _1 TL -
Construction Authonzation is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agen o~ Date: 3- ! Z' 05,
Construction Authorization Expiration Date: -/Z. - /v-
HTE# C-29-5 = Z16 0q Permit # 51& y
Harnett County I)epartment of Public Health
Site Sketch
PROPERTY
ISSUED TO: I) X II-Ir) C'a115,7& Z0,J SUBI
Authorized State
G
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Nv~
-gyp
i
v
/3,41/ At>
Z d6 Sr LOT # S
Date: Z d
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a
S,Z 1 ysa 15,411 ZD
uepartmem of Clrvnulullullt, nCd1U 1, dllu IVdtuldl M"buuluub
Division of Environmental Health
On-site Wastewater Section
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
JI ICCI.
Property ID:
Lot
File
Code:
Applicant: Z1410W
Date Evaluated: 7- A(-e5
fp Design Flow(. 1949): 600 Property Size:
Property Recorded:
[ Public Individual [ ] Well Spring [ j Other
1Boring Pit Cut
[ J Industrial Process [ ] Mixed
P
R
p
SOIL MORPHOLOGY
.1941`
OTHER
PROFILE FACTORS
I
L'
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
. `.1943
Soil:.
Depth (IN.)
.1956-
Saps
Class
1944'
Restr
Horiz
Profile
Class,
& 4TAR
0 -6'
SL.
/W_ ~rL i`'fi✓i~
I
L G
s-3a
-uqY
S;6k5.P.
_k -
SSSl~
Z.
7%
L
1, . Z.
5c.
I j 6 :g- .P,
Z _y
5~~-
4; 5-
6-S
sc.
nl3a~
5--M
x-c~
l~
`jam.
Description
Initial Sy tem
Repair stem
Available Space (.1945)
System Type(s)
Site LTAR
5~
3
Other Factors (.1946):
Site Classification (.1948): S
Evaluated By: G
Others Present: