IPAC & PROPOSALHTE# C-)'\ Harnett County Department of Public Health 2 5 6 5 4
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
C-~ PROPERTY LOCATION: \~wv')', C
ISSUED TO: ~~rr 1~wsorr ~Or~E'S ^+G SUBDIVISION WC, Cf,!RQEv'ey.. LOT #
NEWX REPAIR ❑ EPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SCO ~5~ x` 3~
Proposed Wastewater System Type: ~~°jo ~Eouc~g u SyszE s~
Projected Daily Flow: 3(0~ GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes No
Pump Required: ❑Yes ❑ No ,May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well M0 feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent.:A_ 9--5 Date: 8~1g ~ 4"S SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu of other permits. The permit holder is resp Bible 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 Improvem 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, .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: Y-~ S) P,---In N I lomC~~ `"r- PROPERTY LOCATION: uw Ja-l E.
SUBDIVISION W . C , G MZ N SirL LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? El Yes No Basement Fixtures? E] Yes X No
Type of Wastewater System**-S°l~, R~ov c.~~ a,,, P,t (Initial) Wastewater Flow: 3r- O GPD
(See note below, if applicable
C-$`e (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size Io o b gallons Exact length of each trench S ~O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth ok S "25 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
inches below pipe
Aggregate Depth: inches above pipe
Conditions: O K A eno eos c,t_ ~aon, APeti Ica,,) S a , r.... inches total
C~ ~SV>_:Sta~ S ~T.r,(N~j SN,~ c F"va SEPT,G ~as5 t~~~rs o e>s, Ui.a.NC~E v-C
WA, L L`ryC MvSZ ~E Q-c LEP,s-c W Tae ^ ~~y cn_s O~N&- SY,P,C\C- `Sys7st"\
**If applicable: / understand the system type specified is different from the type speci>Fed on the appli6tion. / accept the speciflcationr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to rev if the sit Ian, 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 subjet{yo empliance wit jaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date:
Construe. Authorization Expiration Date: _
Trench Spacing: Feet on Center
Soil Cover inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
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Foisy, Amy - Tract 1 (4.14 Acres)
On-Site Wastewater Design Specifications
House Footprint:41-ft x 56-ft
Foundation Drain Possible
Bedrooms: 3 (Daily Flow 360 gallons)
Lines flagged at site on 5-ft and 9-ft centers.
- E END- _
t EIP Septic Tank
Supply Line Pump Tank
) Proposed Well D-Box
t Existing Well >_m Pressure Manifold
Initial/
Repair
Line
#
Color
Elevation
(ft)
Drainline
Length(ft)
Field Line
Length (ft)
NIA
1
W
-
-
21
N/A
2
Y
100
-
51
Repair
3
R
99.81
60
70
Repair
4
B
99.61
70
101
Repair
5
W
99.33
70
80
Repair
6
Y '
99.02
70
86
Repair
7
B'
98.74*
80
93
Repair
8
W
98.49*
70
82
Repair
9
Y
98.53*
60
63
Initial
10
R
98.54*
45
56
Initial
11
W
98.4
45
58
Initial
12
Y
97.84
55
68
Initial
13
R
97.52
35
37
Pump Tank:
111.2
310
* Elevation measured and recorded at terminal end of drainline.
60.00 feet
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s 84_38' 6"W
7
230.24 feet N 84° 38' WE
~ nn nn fPPL--
S 84° 38' 6"W
N 84° 38' 6"E
230.24 feet
Hal Owen & Associates, Inc.
PO Box 400, Lillington, NC 27546
PH (910) 893-8743 / FX 893-3594
Foisy, Amy - Septic Easement Design
Onsite Wastewater Design Specifications
House Footprint: 41'x 56' Foundation Drain: Yes
# Bedrooms: 3 Daily Flow (gpd): 360
Initial System
Gravity distribution to 180-ft of accepted system
drainline with lines 11-13 installed on contour
at 18 inches. Line 10 is to be installed at 18 inches
and deepen to 22 inches below the natural surface.
LTAR 0.5 gal/day/sqft
Repair System
Pressure distribution to 480-ft of LPP drainline
with lines 3-6 installed on contour at 12 inches.
Lines 7-9 are to be installed at 18 inches and
shallow to 12 inches below the natural surface.
LTAR 0.15 gal/day/sqft
Lines flagged at site on 5-ft and 9-ft centers
Initial/
Repair
Line
#
Color
Elevation
(ft)
Drainline
Length(ft)
Field Line
Length (ft)
N/A
1
W
-
-
21
N/A
2
Y
100
-
51
Repair
3
R
99.81
60
70
Repair
4
B
99.61
70
101
Repair
5
W
99.33
70
80
Repair
6
Y
99.02
70
86
Repair
7
B
98.74*
80
93
Repair
8
W
98.49*
70
82
Repair
9
Y
98.53*
60
63
Initial
10
R
98.54*
45
56
Initial
11
W
98.4
45
58
Initial
12
Y
97.84
55
68
Initial
33
R
97.52
35
37
Pump Tank:
111.2
310
Elevation measured and recorded at terminal end of drainline.
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Division of Environmental Health
On-site Wastewater Section
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
SOILiSITE EVALUATION
for Oft-SITE WASTEWATER SYSTEM[
Design Flow (.1949):
ublic (J Individual
Auger Boring
[-},ewage
JI mt:t.
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ J Well (J Spring
[ J Pit [ ] Cut
Industrial Process (J Mixed
[ I Other
P
R
O
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
IN.)
1941
Structure/
Texture
.1941
Consistence
Mineral
.1942
Son
Wetnese
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
Profile .
Class
6 LTAR
1
L5
a. r
G 5 L
v P-t, N5 1 ^Z
P~,
1
I
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
a ! `
~e C
Site LTAR
5
a 5
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
6 _e e*_& 0 (t7C qn,(n P.1_ O Ky r,