IPACHTE# IS -5 Harnett County Department of Public Health 28320
Improvement Permit
A building permit cannot be issued with only an Improvement Permit`
PROPERTY LOCATION: "4r O%C-.o N W4,y
ISSUED TO: E-AyGsl, E�(�Logmc t" SUBDIVISION \�;o M G�� M P�tv aCL LOT #
NEWk REPAIR ❑EXSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S9 IF,hS `1 PAf
Proposed Wastewater System Type: Pu pyo 9S Xp `�6Tav44 ,ciN
Projected Daily Flow: 3 CvAO GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑YesNo
Pump Requirs No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 10 feet Permit valid for: >Five years
Permit conditions: a ❑ No expiration
Authorized State Agent:: �'`�. ��� Y.. Date: `i 5 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issi f other permits. The permit holder is Iresponsibli 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 Improves ermit 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: e-ci 9
Facility Type: S �p �3`�r'�� \ New
Basement? ❑ Yes No Basement Fixtures? ❑ Yes
Type of Wastewater System**
(See note below, if applicable
PO n,e—'To -D-S-°jr
PROPERTY LOCATION:
SUBDIVISION ,V, olM c -,s LOT # 2)'`f,'I
❑ Expansion ❑ Repair
pvc1-�P 14 21'S --/"5 �(Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size i cO 0 eD gallons Exact length of each trench feet
Pump Tank Size 1®® ® gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: �— inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
_ (Initial) Wastewater Flow: 3 f® GPD
Trench Spacing: Feet on Center
Soil Cover: Q inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: �¢-EN ri �.t%+lht AEU - �-� S Y-, E S- G- S Gz.)
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.
inches below pipe
inches above pipe
inches total
**If applicable: /understand the system type specified is different /rpm the type specified on the app/ication. / accept the specifications 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
Construction Authorization is subjecttoo compliant the prove of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:a-`T I i
uction Authorization Expiration Date: C-1 0 1 a C7
HTE# Vb-5`36-75tA
Permit # a -:'93-3-n
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Z) r— 6- ci N \,A o -,-y
ISSUED TO: ELOR T<N f, <-1 SUBDIVISION CL LOT # Z -U
Authorized State Agent:
Date:
0
SOUTHEASTERN SOIL & ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION: 'moo -- alf- LOT
10r"
INITIAL SYSTEM: APPROVED 25% RECUCTION REPAIR
DISTRIBUTION: 3` DISTRIBUTION -t" ! -
BENCHMARK: 100.0 LOCATION C- Zo.�'
NO. BEDROOMS: 3 LIAR • ` G dv'o1l=-r I
LINE FLAG COLOR ELEVATION LENGTH
0
TYPICAL PROFILE �sf-d rf4lj
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DATE 0 V Ll //-r
THERE
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THELE SHALL BE NO GRADING,
CUTTING, LOGGING OR OTHER SOIL
DISTURBANCE IN SEPTIC AREA
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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: 5 4 QCZil"� Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply:Public❑ Individual ❑ Well
Evaluation Metho Au or' g ❑ Pit ❑ Cut
Type of Wastewater. l Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
Description Initial R air System Other Factors (.1946):
Systerp Site Classification (.1948):4) —)
Available Space(. 1945) Evaluated By: e<
System T e(s) Others Present: �—
Site LTAR •�
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
L3
11
-'riz-,
j6 4Z
SG,,i'5
2 3S
L'31 fun 3a
P f
a
Ls-l�P
3
cj-Ya
G c�s
v �sl tip
)a„
3z bq-
"�rl 56)
Description Initial R air System Other Factors (.1946):
Systerp Site Classification (.1948):4) —)
Available Space(. 1945) Evaluated By: e<
System T e(s) Others Present: �—
Site LTAR •�