IPACHTE# I —S -y/�� Harnett County Department of Public Health 29459
Improvement Permit
A buildingpermit cannot be issued with only Improvement Permit $2 IL)lZ
72 (Y-3 O v)ny P Y an P
Arne (ir2S Or PROPERTY LOCATION: 2nr11 t O - Ch i5Ii Li Ir( (tcY
ISSUED T0/: J M SUBDIVISION LOT # q—
NEW f3 REPAIR ❑ EXPANSION ❑
Type of Structure: 3 b(- 5 F ('�?a(,5 X '¢6, 6v
Proposed Wastewater System Typ e: ZS io
Projected Daily Flow: S O O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes LAIN
0
Site Improvements required prior to Construction Authorization Issuance:
��
Pump Required: ❑Yes 1:1 No f�YMay Is required based on final location and elevations of facilities
Type of Water Supply: ❑ Community f s�Public ❑ Well Distance from well / ( feet
Permit conditions:
Permit valid for.
LWFive years
❑ No expiration
Authorized State Agent::/f! ` Date: 0 `f 1 1 -4- / 26 I /- 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 m 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 requirement of Rules .1950, .1952, .1954, .1955, .1956, .1951, .19% and .1959 are incorporated by references into this permit and shall be met Systems shall be installed in mandate
with the attached system layout
'Ferry X 5(Z 1'ii.T—
ISSUED TO: PROPERTY LOCATION: lZak.d oqk- of C kKi'l.iwx C�
/ � SUBDIVISION V LOT #
Facility Type: W Sf=o� 4-42.4,a X JL GL) CYNew ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" __ �% de'cSUcki irl 5(Initial)
(See note below, if applicable ❑)
Z-S/o (Zpj yckcb/v 5 7sko-i (Repair)
Installation Requirements/Conditions Number of trenches 3
CY
Septic Tank Size �ooU gallons Exact length of each trench SO feet Trench Spacing:
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: FE
Wastewater Flow: S60 GPD
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: Zq- inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
GPM
Feet on Center
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
Z inches above pipe
Z inches total
**If applicable: / onderstand the system type spec6ed is different /rem the type speciled on the application- / accept the rpecifIcadons of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation 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
Lon tcKlion Authonzanon is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit 5tt AI IALHEU 111L )KETCH
Authorized State Agent: � ���� Date: O�, I I Z Ur
construction Authorization Expiration Date: 0 (Jej
HTE# 1'A — S — 41 OGG
Permit # 29 y 5 q
Harnett County Department of Public Health
srZ iy,z
Site Sketch
Serr j 6w&'pe P ` PROPERTY LOCATON: Q0rX4 Oct& fir Chrt,56"'A L%n5 4 fid,
ISSUED TO: n^ ��, r�r-j SUBDIVISION LOT #
Authorized State Agent: i / �������� Date: cq I Z U 1 -4
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: '7"Cr,,'7,d A^J 46,3°9 D y/13�l
Address: tok 4 4000 k4ifj- Or. Date Evaluated:
Proposed Facility: 302 ,Sf o Design Flow (.1949):
Location of Site:� Property Recorded:
,�
Water Supply: Public❑ Individual Well
Evaluation Method: E] Auger �BBor�ii ypit ❑ Cut
Type of Wastewater: kik Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: '/- 1 3 kc
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
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
L
SL
o'r,
L 31
v -as
fob 51-
1'( 5yp5z f
3
L 3iD
0-48
(�L SL
1i2 S�y
Description Initial_Repair System Other Factors (.1946): /
S stem Site Classification (.1948):
Available Space (.1945) be Evaluated By. /1
S stem T s) Others Present: r-H_ore-.-�) wl.rle,/ /Z157//s
Site LTAR
COMMENTS:
LANDSCAPE POSITIONS
GROUP TEXTURES
.1955 LTA R
CONSISTENCE MOIST
R -RIDGE
I S -SAND
1.2-0.8
S -SHOULDER SLOPE
LS -LOAMY SAND
VFR-VERY FRIABLE
L -LINEAR SLOPE
FR -FRIABLE
FS -FOOT SLOPE
11 SL -SANDY LOAM
0.8-0.6
FI -FIRM
N -NOSE SLOPE
L -LOAM
VFI-VERY FIRM
H -HEAD SLOPE
EFI-EXTREMELY FIRM
CC -CONCLAVE SLOPE
III SI -SILT
0.6-0.3
CV -CONVEX SLOPE
SIL SILT LOAM
T -TERRACE
CL'CLAY LOAM
FP -FLOOD PLAN
SCL SANDY CLAY LOAM
IV SIC -SILTY CLAY
0.4-0.1
C -CLAY
SC -SANDY CLAY
STRUCTURE
MINERALOGY
SG -SINGLE GRAIN
SLIGHTLY EXPANSIVE
M- MASSIVE
CR -CRUMB
EXPANSIVE
GR -GRANULAR
SBK-SUBANGULAR BLOCKY
ABK-ANGULAR BLOCKY
PL -PLATY
PR -PRISMATIC
FILE #
WET
NS-NbN-STICKY
SS-SLIGHTY STICKY
S -STICKY
VS -VERY STICKY
NP -NON -PLASTIC
SP -SLIGHTLY STICKY
P -PLASTIC
VP -VERY PLASTIC