IPACHTE# -5- - = Harnett County Department of Public Health 27767
Improvement Permit
A building permit cannot be issued with only an Improvement Permit]
1 PROPERTY LOCATION: Q
ISSUED TO: y'S P, t_t �"► A L_L SUBDIVISION LOT #
NEW >' REPAIR ❑ EiE NSION ❑
®
Type of Structure: V� 'a$f x 6^
Proposed Wastewater System Type: 2 'S °ja U Gi I ti si Ea,
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes ''No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes -K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well ! nQ feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: -C=i35 Date: \ 4 L SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu o ter permits. The permit holler is esponsible 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 mit 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: i- A(.1,L_.. PROPERTY LOCATION: V 6=&S CA IAq'6L. D
SUBDIVISION LOT #
Facility Type: Qa� 3 J New El Expansion ❑ Repair
Basement? ❑ Yes 'D*, No Basement Fixtures? ❑ Yes XNo
Type of Wastewater System ** ®!® UC'I-taN s YS'SG (Initial) Wastewater Flow: _S(;Q GPD
(See note below, if applicable ❑)
x'10 — `3UC;- 1 a xi (Repair)
Installation Requirements /Conditions Number of trenches 5
Septic Tank Size t ®« O gallons Exact length of each trench 5 c!) feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: VR inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover: -6 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type specified is different tram the type specified on the app /icatiom / accept the specipcationf of this permit.
Owner /Legal Representative Signa Date:
This Construction Authorization is subject to revoc ion if t lat, 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 subk pliance wit provisions and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: t 4 )
Constructio thorization Expiration Date: 4
HTE# Permit # �-7
Harnett Connty Department of niblic Health
Site Sketch
ISSUED TO:
Authorized State Agent:
1-4 b Qs C.
9 P's —, 'j (LL-
PROPERTY LOCATON: MCOQG5
SUBDIVISION LOT # -5
M
i—v 500 Date:
at, x -34r
�- LA I"
r
IV
0 11
Z
6"
I
COMMENTS:
LANDSCAPE POSITIONS
R -RIDGE
S- SHOULDER SLOPE
L -LINEAR SLOPE
FS -FOOT SLOPE
N -NOSE SLOPE
H -HEAD SLOPE
CC- CONCLAVE SLOPE
CV- CONVEX SLOPE
T- TERRACE
FP -FLOOD PLAN
STRUCTURE
SG -SINGLE GRAIN
M- MASSIVE
CR -CRUMB
GR- GRANULAR
SBK- SUBANGULAR BLOCKY
ABK- ANGULAR BLOCKY
PL -PLATY
PR- PRISMATIC
GROUP TEXTURES
I S -SAND
LS -LOAMY SAND
tI SUSANDY LOAM
ULOAM
III SI -SILT
SIL -SILT LOAM
CUCLAY LOAM
SCL-SANDY CLAY LOAM
IV SIC -SILTY CLAY
C -CLAY
SC -SANDY CLAY
MINERALOGY
SLIGHTLY EXPANSIVE
EXPANSIVE
.1955 LTAR CONSISTENCE MOIST
1.2-0.8
VFR -VERY FRIABLE
FR- FRIABLE
0.8-0.6 FI -FIRM
VFI -VERY FIRM
EFI- EXTREMELY FIRM
0.6-0.3
0.4-0.1
Show profile locations and other site features (dimensions references or benchmark, and North
FILE #
WET
NS- NON - STICKY
SS- SLIGHTY STICKY
S- STICKY
VS -VERY STICKY
NP- NON - PLASTIC
SP- SLIGHTLY STICKY
P- PLASTIC
VP -VERY PLASTIC
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: T3))z
Address: Date Evaluated:
Proposed Facility: `3 Design Flow (.1949):3(0
✓•
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method: ® Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [I Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
14;
-z
G '6
G r✓s
N mil, N.5 �4'
cl-
r-�
i 1 s S S
r
4i
va-
4�
,3.
Description
Initial
System
Repair System
t
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present:
Available Space (.1945)
System Type(s)
) C
Site LTAR
3