IPAC RHTE# E0-5-D3)n2j, tZ Harnett County Department of Public Health
Improvement Permit 2 6 2 8 3
A building permit cannot be issued with only an Improvement Permit
G try Qroa~ ~~N ~nc~~S PROPERTY LOCATION:_ `i 81,\ d
ISSUED T0: SUBDIVISION C, vsE.-mot (!)!E LOT # _
NEWN REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 VC) aO'xS~rD`
Proposed Wastewater System Type: Pu m~Ta ~~%ucn to~S
Projected Daily flow: 3 (r- 6 GPD
Number of bedrooms: Number of Occupants: 1C=1 max
Basement ❑Yes ~kNo
Pump Required.)21~es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'T>< Public ❑ Well Distance from well 10 Q feet
Permit conditions: Permit valid for. Five years
❑ No expiration
Authorized State Agent
The issuance of this permit by the Health Department in no way guarantees the ' ce
site is subject to revocation if the site plan, plat; or the intended use changes. The Ian
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
WS Date: loI p SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
Yemeni Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
The construction and installation requirements of Rules 1950, .1952, .1954, .1955, .1956, .19
(Required 557, .1958, andr.169591aa eniincorporated by references into this permit and shall hr mar tv rem..f ,n
with the attached system layout.
ISSUED T0: GPcxi ~~~,~Sd~ Wow PROPERTY LOCATION: Hwy ~a
Facility Type:O ~~xSp
SUBDIVISION G wrc r
New
,~,c LOT #
D Expansion ❑ Repair
Basement? ❑ Yes
No Basement Fixtures? ❑Yes
o
Type of Wastewater System** Y`0Cne-To
(See note below, if applicable ❑
~
-
~,S°/, R uC-tta 5
ysT~~`
(Initial) Wastewater Flow_ 3b GPD
u
kzm
Installation Requirements/Conditions
(Repair)
Number of trenches 1
Septic Tank Size vo(75 _ gallons
Pump Tank Size Cobb
gallons
Exact ten h of each trenc
gt feet
Trenches shall be installed on contour
t
Trench Spacing: 9 Feet on Center
a
a
Maximum Trench Depth of. 3,11 _ inches
Spit Cover. _ ~a inches
(Maximum soil cover shall not exceed
(Trench bottoms shall be level to +1_114"
36" above the trench bottom)
Pump Requirements: ft. TDH vs.
_
in all directions)
GPM
inches below pipe
Conditions. _ I`~1 Ok J ~`c E Oat lrsQ~o \ Aggregate Depth: inches above pipe
d,,r~o Lz o
E° LS inches total
WATER LINES (IN(LUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
'If applicable: / lrnderstand the system type speciled is different from the type specired on the app/ ,?6n. / accept the specifications of this permit.
Owner/Legal Representative Signa
This Construction Authorization is subject to revocation Date:
1 site , 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 Authonzation is to compliance th the visr o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Date: ► o
Authorization Expiration Date: vo
NTE# 10 -5- ) °t Permit # a.6a~3
Harnett County Department of I' blic Health
Site Sketch
PROPERTY LOCATON: 1-Ewy ~t0
ISSUED T0:z so N No me SUBDIVISION Gw ~t , O Q~5 LOT # a
Authorized State Agent: ct6~5 L-Nvf-L '7oyrs~o Date: 1015
3,~3
Department Of Em mnmett, Health and Natural Resources
Division of F MronmentW Health Shed:
On-Site Wastewater Section Property ID:
Lot a:
SOLUS1i Z EVALUATION File ii:
for ON~ITr yyAgwu-,m Code:
Asupmalrall M
Owner. Applicant:
Addresic Date Evahlatoi
Proposed FacdliW. 3 e Q=4,0 D CAP Flow (.1949y'J bo
Pro
t
Location of Sites mpe~ rded
per
y Size:
Waterguppi ❑ MdividtW ❑ well
blic
Evaluation Method; 4N
C1 Spring
Auga
Type of Wastewater; Honing [I pit
Scwap ❑ Ir intrial Process 0
cut
Mixed
P
It
O
F SIDIL MO"HOLOGY
1 . 1940
OTHER
L spa Horizon 1941
PROPtI.R PACTC
9Position; Depth .1941 1941
.1941 son
.1$41
Considaum Webmwif
TeMlun Minrrab Color
Sail
~S
IN.
1ti 3d, -cC_L s5)
q
~6 lj~ ~~3~ Sc.L- v~ s LISP
.z
vmQ Factors (.1946) -
Site Classiflcadou (.1948X ~
EmImied Ely.
Others Present
❑ Other
.1916 .1944 AVM
Clan Hans. Clan
P5
0
GWEN OAKS LOT 23
Project No.11,118.S2
LAYOUT FOR 3 BEDROOM HOME
FLAG
LINE #
COLOR BS HI
TBM
7.5
INSTR. 1
107.50
1
PINK
2
YELLOW
3
ORANGE
4
RED
5
BLUE
MARCH, 2009
FLAGGED
DESIGN
FS
ELEVATION LINE LENGTH
LINE LENGTH
100.00
8.70
98.80 90
90
10.00
97.50 105
90
11.30
96.20 98
75
12.70
94.80 77
75
13.60
93.90 72
75
Total 442
405
SOIL
LINE LTAR SYSTEM
LTAR
INNOVATIVE
LENGTH D/FTC PE
System 180 0
50
GPD/FTC
Y TEM
DISTRIBUTION
.
INNOV.
0.50
EZ-Flow
PUMP TO
D-BOX
Repair 225 0.50 INIVOV.
0.50
EZ-Flow
PUMP TO
D-BOX
Notes: TBM 4.1 @ BASE OF LIGHT POLE
**TBM is assumed to be 1001.
**All measures in feet.
**Nitrification lines are demonstrated o
*
n contour via
colored pin flags.
*BS, HI, and FS indicate rod readings.