IPAC RHTE# a -s-' gLg � Harnett County Department of Public Health
ImDrovement Permit 27164
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: )ng _
ISSUED T0: �o- lo�+GPti�E �0��� , �p SUBDIVISION 71 'w"N LOT #
NEWV REPAIR EX P SION El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �Q 46� " GS
Proposed Wastewater System Type: 9urM 25fb P MtigS)ot1
Projected Daily Flow: 3(-1(0 GPD
Number of bedrooms: 3 Number of Occupants: max
Basement []Yes X No
Pump Required:XYes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community NV Public ❑ Well Distance from well \b(o feet Permit valid for: ,Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date: t0 )I SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance o r permits. The permit holder is resp nsible 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 it 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: C.o„;
Facility Type:
Basement? ❑ Yes "19 No Basemi
Type of Wastewater System ** Vu ty e
(See note below, if applicable ❑)
1pU �P
tr� , C.o . PROPERTY LOCATION: �FSrS y�u
SUBDIVISION 'emu LOT #
New ❑ Expansion ❑ Repair
!nt Fixtures? ❑ Yes KNo
P
a-3-7A ca \JC;'S Q N 5 S C-- 117N (Initial) Wastewater Flow: GPD
�) �/g 9.Eouct-\ c1 u (Repair)
Installation Requirements /Conditions Number of trenches 3
Septic Tank Size bcOo eo gallons
Pump Tank Size t O<!�o gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench G D feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. S$'�� inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: q Feet on Center
Soil Cover: Pz, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
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 specified is different from the type speciped on the app /ication. / accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is suttkf4ix evocation if the site pl plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subjec`to compliatt�wi visigns o aws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: to
Cons ' Authorization Expiration Date: ?
M
NTE# �—� '— �`� C 5!'� 9— Permit # �i 161
Harnett (onnty )eha1.tnient of 1)-ti[lblic Health
Site sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON:
SUBDIVISION LOT #
i (pa- IN Cir -5 � Date:
M
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: S �SxzOCD cc-", Design Flow 949):-36CJ
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Methodl�Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
I
L
E
#
.1940
Landscape .
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
JL.5)r\
41zA
G s�
vs)'e
6
Ven
Description
Initial
System,/'
Repair System
Other Factors (.1946):
Site Classification (.1948):„5
Evaluated By: Gl
Others Present: $
Available Space (.1945)
System Type(s)
P
Site LTAR
ltcinity Map
(Not to Scale)
IEGEN
R/W —RIGHT OF WAY
09 —DEED BOOK
PG —PAGE
SF— SQUARE FEET
AC— ACRES)
PH—PLAT BOOK
9588 -18- 2523.000
ORENE ROBERT$
DB 789, PG 104
%' • , iii
uM1+
•
9586 -08- 1088.000
I ROSCOE a BENITA
FRWELLE
DB 2431, PO 233
LINE -5d0.40'
SHE RUM
9586- 19- 0537.000 of
PAMELA KIMMONS
OB 2611, PG 526
o° A -L
�' ry
4
k
4
Cr PR 'D ..
SEE DjfA4 ' o
a
N55'26'00 "E
30.00'
i
60' EASEMENT
S34'34'00"E, 540.00'
_._. _— — _... — — — — — —
— __. __. _ _ _ _
— 9587 -00- 7445.000
— �f
ROSCOE & BENITA
C�
9587 -10- 3013.000
FRIZZELLE
/
BRADLEY & HYANG
08 2431, PG 233
SHEFFER
DB 2871. PG 971
PLOT PLAN
,PMPERTY OF: SHOWCASE
CONSTRUCTION
ADDRESS:
ROBERTS ROAD
CITY:
SANFORD, NC
; c SEAL 9P
q 1 U
CQUNJ
: HARNETT
L-4491