IPACHTE# i6-s-392y6d Harnett County Department of Public Health 29278
Improvement Permit
A building permit cannot be issued with only an Improvement Permit a-1-
`'-_ p PROPERTY LOCATION: 34/5 Ox (C/ei5ia 2 (Dr I a 52 /Oa -f
ISSUED TO' Jj20Ci/ SUBDIVISION Alan Po'dkG LOT# 4','T
NEW 6Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 3&Z Sip
Proposed Wastewater System Type: Z.%A Red . S 5 s¢r�
Projected Daily Flow: 3 & C;' GPD
Number of bedrooms: —�3 Number of Occupants: $ max
Basement ❑Yes LJ Wlf
Pump Required: Dyes ❑ NoIsd'May boe eouired based on final location and elevations of facilities
Type of Water Supply: ElCommunity P Public ❑ Well Distance from well feet Permit valid for.
Permit conditions:
l-twe years
❑ No expiration
Authorized State Agepf _moi Gi z IoV (Date: /Z— rt, SEE ATTACHED SITE SKETCH
The issuance of this permit byealth 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 revoation it a sne 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: 536200/ '9"' 'A -C1 PROPERTY LOCATION: or �c re( SA er Oc .
SUBDIVISION ).1r j un Po,'Ah LOT # y�
Facility Type: 3 (3c Sr 1> CdYNew ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑g,Nrr - Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" (Initial) Wastewater Flow: 346 P GPD
(See note below, if applicable ❑)
Z5.Z t"CF
67'7
Installation Requirements/Conditions
3(Repair)
Nmber oS6ch
Septic Tank Size /voo gallons
Exact length of each trench roc feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of: Ztf inches
(Trench bottoms shall be level to +/.1/4"
in all directions)
Pump Requirements: ft. TDM vs.
GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: /2 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
"If applicable, / ondeisiaod the system type spedfyed is different kom the type spelled on the app/icalion. / accept the Jpechfinationr o!this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revoadon if the site plan, plat or the intended use cfianges. The Construction Authodation shall not 6e translerred when there is a change in ownership of the site. This
sunstmction Authorization is subject to compliance with the provisions of the Lam and Rules/for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
C..� �✓ �fT..1ue
Authorized State Agen Date: / Z - Z
Construction Authorization Expiration Date: 4 Z - 2Fs- 2 /
HTE# I(o - S - 398(-0 Permit# 29Z�
Harnett County Department of Public Health
Site Sketch
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PROPERTYLOTATON: 3q5 (3xFor&5Wrt W lC 32 103'7 -
ISSUED TO: 5 tunf; I Rj llria Sg SUBDIVISION OoA len Pa ; n �te- LOT #
Authorized State A l �P�GCB Date: / %rzqj -Z�(
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Department of Environment, Health and Natural Resources
Division of Environmental Health Sheet:
On -Site Wastewater Section Property ID:
Lot #:
SOHJSITE EVALUATION File #:
for ON-SITE WASTEWATER SYSTEM Code:
s3 0Mo Applicant
Address:3y5pr. Date Evaluated: +Zlos/y
Proposed Facility: S (erZ `at Design Flow (.1949): 3(,o j/�, Pro
Location of Site: /q d� P c, n4' a perry Size: O
Water Supply: Property Recorded: , Gj
Evaluation Method AugaBolubllico Individu Pit 0 Well
�' ❑ Spring ❑ Other
Type of Wastewater: Sewage ❑ Industrial Process❑ Cut
❑ Mixed
P
R
O
F
.1940 SOI, MORPHOLOGY
1 .1941 OTHER
L Landscape Horizon PROFILE FACTORS
E
Position/ Depth .1941 .1942
# Slope % (In.) St ucture/ Consistence Soil .1943 .1956
Texture Wetness/ Soilapro 1944 Profile
Wetness/
Color D th Class Horiz &Restr ILTAR
�S
JC -Ci Qs� +#4t
ra y G5
L ( o
o.Us�
59 1 5s5v
�s
Zq c tJ(2, 1 esc�
63
vmerractors(.1946): R>✓vitc.
Sit
0 Classification (.1948):
Evaluated By: 7 .MnaAcva ��
Others Present:
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