IPACHTE# 11- 5—`f0gq I Harnett County Department of Public Health 29788
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: N %.4A 6 5 Wes++—
ISSUED TO: eK , SUBDIVISION LOT # 3
NEW 0--� REPAIR LJ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 392 Q(, f )cqq' 5 a
Proposed Wastewater System Type: 36% ,'L.a1vr._Li.bn, S
Projected Daily Flow: a Co c� GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes�o
�
Pump Required: []Yes G.,o *N ❑ May be r ed based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for.
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: 01 o S cats SEE ATTACHED SITE SKETCH
The issuance of this permit by the 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 pruisiom of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit..
Construction Authorization
(Required for Building Permit)
The combustion and installation requirements of Rules .1950, .1951, .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 attacked system layout
ISSUED TO: r,raJaLJ --C-rx PROPERTY LOCATION: Hko, 6S wget
SUBDIVISION LOT # 3
Facility Type: '9&L aU x 4q' 5 F:n> Ca—We—w ❑ Expansion ❑ Repair
Basement? ❑ Yes U- �o Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ;?5j� .ur(� S ,s �� (Initial) Wastewater Flow: 3G0 GPD
(See note below, if applicable ❑)
M—Cnfe:sak a5% 2.-,A S,r (Repair)
Installation Requirements/Conditions Number of trenches 4 -
Septic Tank Size 1 000 gallons Exact length of each trench Ce c� feet Trench Spacing: g Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. a inches
Maximum Trench Depth of-. /8 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. TDH vs. _ GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions:-Qox `� ed p''. y��;6� R �1 — inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable, / understand the system type speciled it different from the type speciled on the app/iration. / accept the rpetilUtianJ 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 Constmction Authoriudon shall not be transferred when there is a change in ownership of the site. This
conssmcnon numonaabon 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 Agent: Date: 0', i O$ ji�_
Aadc� 0 W22 Construction Authorization Expiration Date: ok I ods/ St6a3
HTE# ) 1 - 6 yA "' Permit # a G -7gP,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOEATON: H �oY 56
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ISSUED T0: ��e�n. =nL. SUBDIVISION LOT # 3
Authorized State Agent: Date: Z01 P+
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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. U_, ! Applicant: 'n -Crazy- G'`0''
Address: H wY 65 Date Evaluated: N 1 c,6 /a&16
Proposed Facility: 2 5 Fri Design Flow (.1949): 366 a9%
Location of Site: Property Recorded: Cf
Water Supply: ublic❑ Individual Well
Evaluation Method: ger Borin ❑ Pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
.1940
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position/
Slope%
Horizon
Depth
(In.)
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile
Class
& LTAR
L 4-(A
O 1'I
c2 61.
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W
rile 641
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04
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Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space (.1945) Evaluated By: Gvlfin ��
System T s f o Others Present: A-ndrea f
Site LTAR 0 C