IPACHTE#01 -s-ZZ zz Harnett County Department of Public Health 2 5 4 2 8
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
/ PROPERTY LOCATION /
ISSUED T0: !x t 2l- SUBDIVISION LOT # /L1
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: /e
Proposed Wastewater System Type:
Projected Daily Flow: 31,6 GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No Z;~~Publlc a required based on final location and elevations of facilities
Type of Water Supply: El Community ❑ Well Distance from well feet Permit valid for FLT' ive years
Permit conditions: ❑ No expiration
Authorized State Ag t: Date: d SEE ATTAfHED SITE SKETCH
The issuance of this permit b e alth Department in na 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 a 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, 1957, .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: - PROPERTY LOCATION: SfVy1Z
SUBDIVISION f-662 LOT #
Facility Type: D New E/ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes E No
Type of Wastewater System** Z$% Pl'DtY~'LmJG' sr~1,.,,_ (Initial) Wastewater Flow: _ 3( GPD
(See note below, if applicable
ZM (Repair)
Installation Requirements/Conditions
Number trenches
Septic Tank Size / OQD _ gallons
Exact length of each trench feet
~
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of.
- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs.
GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover __&inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
L.2- _ inches total
""If applicable: / underftand the fyftem type specified if different from the type specified on the app/icatiao. / accept the specifmuio#,r of this 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 k a rhan- ;n --ki d rKn Abe Th4
Construction Authorization is subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Dim mal and m the randirinn< nf rkic -mir V Crr ATTArurn ClT[ curTru
, - r......., ara. ntnmw JIIL J4L1 WI
Authorized State Age Date: _ -Z
Construction Authorization Expiration Date:
HTE# 09-x- ZZ(.ZZ Permit # S`7/Z Q
Harnett ( +onntyr vepaAment of Public Health
Site sketch
PROPERTY LOCATON:_~C/~1/L C'•C~<,.:~,•-L~i~~- /L~
ISSUED TO: SUBDIVISION A LOT # !/I
Authorized State Agen . Date: Z =Q S
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On-Site Wastewater Section
SOILISTTE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant: ZZG -
Z-Address: Date Evaluated: 9-18-05 J Z"-07
Proposed Facility: jf;D Design Flow (.1949): 3 &a~
Location of Site: Property Recorded:
Water Supply: lic ❑ Individual ❑ Well
Evaluation Method: LT.Auger Boring ❑ Pit ❑
Type of Wastewater: I-T Sewage ❑ Industrial Process ❑
Sheet:
Property ID:
Lot
File
Code:
Property Size:
❑ Spring ❑ Other
Cut
Mixed
P
R
O
F
I
1940
OIL MORPHOLOGY
.1941
THER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope %
Horizon
Depth
(In.)
.1941
smxttue/
TCXNM
.1941
Consistence
-Mineralogy
.1942
Soil
wetness/
Cola
.1943
Soil
Depth (IN.)
.1936
Sapro
Class
.1944
ReAr
Horiz
Profile
Clan
dt LTAR
1
3
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SL
6>G
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ZI! (fir
1.
2
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m3w,
91 &A
Q)t
ZS''
3
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3 2
Description
Initial
S stE!
Repair Sy
Other Factors (.1946):
Site Classification (
1948
'
Available Space .1943
.
E
l
t
d
S stem a
va
ua
e
Oth
P
Site LTAR
ers
resent: