IPACHTE# o~-s=aZOr,7 Harnett County Department of Public Health 2 5 2 7 2
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
p PROPERTY LOCATIONS/ E of , f K e- ~cz.nyt ~~Q
ISSUED T0: /c SUBDIVISION
LOT #
NEW Z REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J- FD 1~ G y
Proposed Wastewater System Type: E
Projected Daily Flow: 5(8O GPD
Number of bedrooms: Number of Occupants: _ max
Basement ❑Yes Z No
Pump Required: ❑Yes ❑ No ER May be required b ed on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public Well Distance from well /00 feet Permit valid for 5't. ve years
Permit conditions: ❑ No expiration
Authorized State Agent.: gat:. Date: toe i 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 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 in
to this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: ~44n, G, /t%d
PROPERTY LOCATION: ed-
i
SUBDIVISION
LOT #
Facility Type: .5-11D mid Xett
& New ❑ Expansion ❑ Repair
Basement? ❑ Yes 9"~No Basern
,i
nt Fixtures? ❑ Yes ❑ No
Type of Wastewater System**
~C kd .~t/Jc n-.
(Initial) Wastewater Flow: GPD
(See note below, if applicable
(
,Qc
ccpd ✓
i ""r, (Repair)
Installation Requirements/Conditions
Number of trenches .3
Septic Tank Size 1000 gallons
Exact length of each trench /00 feet
Trench Spacing: 9 Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: G '/Z inches
Maximum Trench Depth of: 18 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
inches below pipe
Concl s: 4 b,,,,4 l A
c> cOri S'~ ~ cam. i ifs w- )
Aggregate Depth: inches above pipe
a.1
inches total
{
~V .U1
**If applicable: / understand the system type specibed is different from the type specified on the app/ication. / accept the rpecificationr of this permit.
Owner/Legal Representative Signature: Date:
> -l", rcrucaumi a me sne plan, peas, or toe mtenoeo use cnanges. ine Lonstrucnon Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization 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: 11~'J. Date: (M
Construction Authorization Expiration Date: -'-d /2C°
HTE# 0~ ;U-cO~ Permit # 0, %-~Z'7~,
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: -5,t 13- ? ~iC'e .CGt cyL lest.
ISSUED T0: SUBDIVISION LOT #
Authorized State Agent /(.J-
Date:
p
A(issa Reid
Singe Lot Skeet Range
4-Bedroom System La
)KHouse Staked on lot
*)KSee submited site plan for
house dimensions and location
d-
CO
System, Gravity to D-Box
Lines, 4-6, (300')
Accepted Status System
0.4 Solt LTAR
18' Trench Bottom
Repair, Pressure Manifold
Lines, 1-3, (300')
Accepted Status System
24' Trench Bottom
0,4 Solt LTAR
75'
Road
/out o a°
CD
o°r o0
0
Q~ 3
75' Z w a o°
~ yc 'a
64'
Apprw 1rn*v
u~
u~
0
Skeet Range Road
150,02
GRAPHIC SCALE
1 " = 60'
'U
d-
a-
60 0 60 120
Alissa Reid
Skeet Range Road Lot
4-Bedroom Home (480 gal./day)
LINE # COLOR BS HI FS ELEVATION LINE LENGTH Design Length
TBM 7.9 100.0
in field
installation
INST. 1 107.9
1 Red 5.1 102.8
60
50
2 Orange 6.8 101.1
125
125
3 Pink 7.6 100.3
125
125
4 Blue 8.7 99.2
111
100
S Yellow 9.6 98.3
106
100
6 Red 10.8 97.1
103
100
Total
630
600
System
Repair
Lines 4-6
Lines 1-3
System Type Accepted Status System
Accepted Status System
EZ-FLOW
EZ-FLOW
Suggested Soil LTAR 0.40
0.4
(gal/day/ft2)
System Installation LTAR 0.40
0.4
Total Line Length 300
300
Square Footage 900
900
Proposed Trench Bottom 18"
24"
Distribution Method Gravity to D-Box
Pressure Manifold
Notes: TBM is eip at back northeast corner
Division of Environmental Health
On-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
[ j Public [ j Individual
IL4/uger Boring
[ -IS/ewage
JI Mtn.
Property ID:
Lot
File
Code:
Applicant: )
Date Evaluated: 5'I f
Property Size:
Property Recorded:
Well [ j Spring [ j Other
[ ] Pit [ ] Cut
[ j Industrial Process [ ] Mixed
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L'
E
#
1940
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
I
6
C,
J- YA X, /
IT,
Description Initial System Repair System
Available Space (.1945)
System Type(s)
Site LTAR
Other Factors (.1946):
Site Classification (,1948):
Evaluated By:
Others Present: