IPAC RHTE# i3 -5= 5,-' CL Harnett County Department of Public Health
Imarovement Permit 27284
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATIO • � G�..»S
ISSUED TO: P52 P, 1 -5 0 rj 0� ` � SUBDIVISION W 6 N � �i LOT # Y z
NEW REPAIR E] E NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5f2 C s o � —
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement [--]Yes No
Pump Required. t*s ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ,-tg\ Public ❑ Well Distance from well MCJ feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: : �' � �L`_ j Date: 0,1 '-A 11 5 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, .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: ��2`l ���*�5;C')' PROPERTY LOCATION:
SUBDIVISION '�: w G,,j (")v" ('5 LOT # 16
Facility Type: 5S0 ��� New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** R -f)F"Sco 3�01a VC.; )c,t, (Initial) Wastewater Flow: ® GPD
(See note below, if applicable ❑)
�0 POP (Repair)
Installation Requirements /Conditions Number of trenches
Septic Tank Size � O 0 o gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size \006 gallons Trenches shall be installed on contour at a Soil Cover: C:, inches
Maximum Trench Depth of. 1 -<�, 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
tit Aggregate Depth: inches above pipe
Conditions: U in Q or C-016cz- 0-J ax- 014 ") 6•Z-! inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. 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 specified on the application. / accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is siuBpewQ revocation if Oe site plan, 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 qbiLct to complwi s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
1�
Date:
ction Authorization Expiration Date: 3
HTE#
Permit # :n lq4
H( rnett, County I)epartment of Ilablic Re(lth
Site Sketch
L ) A 3 L C
Nc2L 10,5
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: ak$' "5 Design Flow (.1949): aYd
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method Au er ❑ Pit ❑ Cut
Type of Wastewater: �- Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
a t
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
�_N
R--S
s= �'�,e�
�S
fS
y)-Z3-(X
C.
F2 SJS
Description
Initial
Systerq
Repair System
Other Factors (.1946):
Site Classification (.1948):f J
Evaluated By: Cry
Others Present:
Available Space (.1945)
0
4
System Type(s)
6' V"
o
Site LTAR
�_N
LENGTH
-40'
50'
65'
75'
75'
75'
75'
75'
75'
LOT 104 GWEN OAKS
4— BEDROOM INNOVATIVE PUMP TO D —BOX
SYSTEM
LINES 6 -9 (4 X 75')
EZFLOW
LIAR 0.4
4— BEDROOM PRESSURE MANIFOLD REPAIR
LINES 1 -5
EZFLOW
LTAR 0.4
FOR GENERAL USE NOT A SURVEY
PRELIMINARY NOT FOR CONSTRUCTION
/ 1
3 2, % •�0
7 6 5 �4�,`
. •
1200 gal
SEPTIC TANK
1200 gal
PUMP TANK
LINE
SCHEDULE
LINE NUMBER
COLOR
FIELD ELEVATION
1
RED
3.70
2
YELLOW
3.90
3
PINK
4.40
4
BLUE
5.10
5
RED
5.80
6
YELLOW
6.40
7
PINK
7.20
8
BLUE
8.00
9
ORANGE
9.00
LENGTH
-40'
50'
65'
75'
75'
75'
75'
75'
75'
LOT 104 GWEN OAKS
4— BEDROOM INNOVATIVE PUMP TO D —BOX
SYSTEM
LINES 6 -9 (4 X 75')
EZFLOW
LIAR 0.4
4— BEDROOM PRESSURE MANIFOLD REPAIR
LINES 1 -5
EZFLOW
LTAR 0.4
FOR GENERAL USE NOT A SURVEY
PRELIMINARY NOT FOR CONSTRUCTION
/ 1
3 2, % •�0
7 6 5 �4�,`
. •
1200 gal
SEPTIC TANK
1200 gal
PUMP TANK
104
60.0
60.0
TBM 4.9 EIP
SOIL LINE
LOT 1
HWY 210, Anderson creek, NC
HARNETT COUNTY
DATE 09/01/12 DRAWN BY: TMB a*CKED BY: TMB
Bateman CM1 Survey Company
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104
60.0
60.0
TBM 4.9 EIP
SOIL LINE
LOT 1
HWY 210, Anderson creek, NC
HARNETT COUNTY
DATE 09/01/12 DRAWN BY: TMB a*CKED BY: TMB