IPACHTE# 1C) -5- ~ 5 ) Harnett County Department of Public Health
Improvement Permit 2 6 2 0 5
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: P\ L- xo N cJ C a -
ISSUED TO: C0sy-4 C,vJ s'0~ SUBDIVISION IHIP- Skd MLOT # $1
NEWX REPAIR EX"SION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Sic k 311
Proposed Wastewater System Type: %-N &A-i5\ON
Projected Daily flow: 3 .ICD GPD
Number of bedrooms: 3 Number of Occupants: C- max
Basement ❑Yes No
Pump Required: ❑Yes No El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'X Public ❑ Well Distance from well C4 0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent.: ~ -\15 Date: -1 a--O SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance ermits. The permit holde is respo ible 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 Pe 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, ASS, .19S7, .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: M Q (1 "5,-, C" c;, V0 N PROPERTY LOCATION: X>„QN,3E.
SUBDIVISION 1 t~C v r~,rr.1~ LOT
Facility Type: S7Q (3~ x55 X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'N4"'No
Type of Wastewater System' CorcvEs-s-Or-Z (Initial) Wastewater Flow: GPD
(See note below, if applicable
C.0 -1 E^'"c1"D.L (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size 10O d gallons Exact length of each trench SO feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. aO -36 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: 1 Feet on Center
Soil (over.- inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
(-I inches below pipe
2, inches above pipe
1 a. inches total
*If applicable: l understand the system type specired different from the type .rpeciTed on the app/ication. / accept the ,rpecirc.?#anr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to re ocay~t on if the 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
tonstruchon Authorization is s to compliane~ith t ons oTsp~Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 1(3
Const bon Authorization Expiration Date: a:~
HTE# `j Permit #
Htarnett Count.' I)eptartni"e nt of Pttblic Het lth
~ "ite'k(~tcll
I
PROPERTY LOCATON: "2.,
ISSUED TO: Gu 2VC~ V~1•S SUBDIVISION i AT 4+ V
Authorized State Agent:
P., LIP IN(~ OCLN'i
S~ L~ -~h►p2N P,) -4 F
FILE N
+CONgvtENTS:
9
R-RMC&
S-SHOULDER SLOPE
L-LLNIAR SLOPE
F3-FOOT SLOPE
`t-NO3s SLOPE
H HEAD SLOPE
CC-CONCLAVE SLOPE
CV-CoNV11X SLOPS
T-TERRACE
FP•FLOOD PLAN
GROUP
1973 LTAR
1.1.0.3
VFl -VERY FRIABLE
FR•PRIABU
0.3.0.6 FI•FIR*
VFI-VERY FIRM
EFI.LTMMELY F1RM
0.6-03
mm
sTRUCi'm
S04INGLB GRAIN
u- nw3m,
cwclvms
G&GRANULAR
SBK-9UBfAN43ULAR BLOCKY
ABIGANGULAZ BLOCKY
PL-PLATY
PR-PRIIIA"TIC
1 S-SAND
LS-LOAMY SAND
li 3L-SANDY LOAN
-LOAM
IQ SI.9a,T
39.,-SILT LOAM.
CL-CLAY LOAM
SCL.SANDY CLAY LOAM
IV SIC-SILTY CLAY
C-CLAY
SC-SANDY CLAY
SLIGHTLY EXPANSIVE
EXPANSIVE
0.4-0.1
NS•IYON-STICKY
33-SLIGHTY TnCXY
9-3T1CKY"
VII-My 3mcxy-,
NT-N0N-P1.A. r..
SP-SUGHTLy STICKY
P-Pl:AXTW ' ,
VP-VE*Y KAYTC'
Show Proftle locadow ad dhw like MlurM d rsMom a and North
-1
i
J- Ll LL I I I I I I I I I I I I I I I I I I I
FT I I I I I I
-ti I t I I I T-i T I I I I I I I
Department of Environment, Health and Natural Resources
Sheet:
Division of Environmental Health
Property ID:
On-Site Wastewater Section
Lot W:
SOIL/SM &VALUATION
File N:
Cade:
for ON-SITS WASTEVYAT1E89YSTL,4
Owner. Applicant
Addre= Date Evaluated:I
Proposed Faeilitf: 3 DeAp Flow (.1949p -XxJ
Property Size:
Locadb>s of Sitar Pro" Recorded:
*
water 3ir
P
W
p
.
u
❑ individual ❑
Well
❑ Spring ❑ Other
Evaluadon Whod: Auger Boring ❑ Pit
Type of Wastewater.
S
❑
Cut
.
ewage ❑ industrial Process
❑
MIxed
P
R
O
F
SOEL MORPHOLAOY
OTHER
1 .1940
L L W
H
i
.1941
PROTILJt TACTOA6
mnpe
a
som
B Poeitlad D"A
M 310Pe(IM)
.1941
St
A"
.1941
.1942
SON
.104
.1956
.1944
PM(ft
rue
Tem n
Conwdeacr
tlinnlo
wetmw
Color
Sod
M.
Sego
C1er
Re*
Hail
CI M
~ LTAX
.
don !Hitt Repdr syeteal Othar Factor, (.1946k
s 'tn4 Site ClaWcadon (.1948X
as ~p .t94!
~A Evaluated BY Jt Others Preft*