IPACHTE# N 5 -5 - Harnett County Department of Public Health 28343
Improvement Permit
A building permit cannot be issued with only an Improvement Per t
,1 PROPERTY LOCATION: 1Z�an,aC6
ISSUED T0:(�ZaynIVISION LOT #
NEWX REPAIR ❑ `EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: r �--
Proposed Wastewater System Type: 15 lo vC lUsz�15�E,rM
Projected Daily Flow: S Od GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes '*Qo
Pump Required: ❑Yes ❑ No >< May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
Permit condjtjons. `s
Permit valid for:
Five years
❑ No expiration
Authorized State Agent:: Date: G 1 11 j SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuan other permits. The permit holder is resp Bible 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 Improvemen 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.
l i
ISSUED TO:0N"aC4 ChUgXy, PROPERTY LOCATION: �MG2
SUBDIVISION LOT #
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes 1!< No Basement Fixtures? ❑ Yes No
Type of Wastewater System** °�o ov�� 0 ) ->-�C — (Initial) Wastewater Flow:
(See note below, if applicable ❑)
CK -\ 0 �r4 (Repair)
Installation Requirements/Conditions Number of trenches
5Q)o GPD
Septic Tank Size t- DO(O gallons Exact length of each trench S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: C� inches
Maximum Trench Depth of: %I�— inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: "1 N9 9 .,f A l..:_5 inches total
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.
**If applicable: l understand the system type specified is different from the type specified on the application. l accept the spedfIcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subjeciT6'tereca'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
Construction Authorization is 3ebKLto compliance ro ' ' o s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:`' �' ��" � Date: ',5-
Construction thorization Expiration Date: _ Q
HTE# 35H3 H Permit #
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: OMAN SUBDIVISION LOT #
Authorized State Agent: Date: G )!S—
��M
Co"'O'ss Jj e v NO �
rJ CL:N --4 6 wo '5-y 66
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: Design Flow (.1949):5d 6 S�
Location of Site: Property Recorded:
Water Supply: ❑ Public[] Individual ❑ Well
Evaluation Method: ❑ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: ❑ Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
Description Initial Repair System Other Factors (.1946):
Systevi Site Classification (.1948):`5'
Available Space(. 1945) Evaluated By: (3
System Type(s) a 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
Description Initial Repair System Other Factors (.1946):
Systevi Site Classification (.1948):`5'
Available Space(. 1945) Evaluated By: (3
System Type(s) a Others Present:
Site LTAR
Southeastern gInc.
P.O. Box 9321
Fayetteviie, NO 28311
Phone,'Fax (5310) 822-4540
Email' mike so:itheasternsoii.com
November 7, 2014
Mr. Tom Goetz, Architect
1220 Fort Bragg Road
Suite 200-A
Fayetteville, NC 2830
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Re: Soil/site evaluation for subsurface waste disposal, proposed Fellowship Hall
addition, Union United Methodist Church, 2212 Nursery Road, Harnett County, North
Carolina
Dear Mr. Goetz,
A soil/site evaluation has been conducted on a portion of the aforementioned property at
your request. The purpose of the investigation was to determine if soils were acceptable
for a subsurface waste disposal system to serve a proposed fellowship hall building
(domestic wastewater only to serve the existing congregation; 250 people e 2 gallons per
person; includes a kitchen, no daycare). All ratings and determinations were made in
accordance with "Laws and Rules for Sanitary Sewage Collection, Treatment, and
Disposal, 15A NCAC 18A. 1900".
At least two sites were located on the tract containing soils that have provisionally
suitable properties exceeding 40 inches. Each site essentially lies on linear slope (1 -
6%) landscape, Soil borings conducted in most of this area consisted of 20 or more
inches of sandy loam underlain by light sandy loam or light sandy clay loam extending to
40 or more inches. Soil wetness and/or parent material (greater than 50%) was typically
observed greater than 40 inches below the soil surface. All other soil characteristics
were; either suitable or provisionally suitable to at least 40 inches.
Based on soil borings and site conditions, the site would be designated provisionally
suitable for a shallow conventional subsurface waste disposal system (see attached
design; inay require the use of a pump). The site contains enough provisionally suitable
soil area, as required, to allow for subsurface repairs for all existing systems. A map
showing the approximate location of the site accompanies this report. [Note: No
grading, rutting or soil disturbance can occur in this area prior to obtaining a
permit from the Harnett County Health Department. Any grading `vithoat a
permit can alter the findings of this report.]
50I1-18ITE EVALUATION v SOIL PHY, :{:At ANALYSIS a LAND USEtSUBD(VISION PLANNING 4 WETLANDS
GROUNDV%ATER 0HAH4 GE4VDUiD:P:3 a SL 1FACPSUBSURFACE WASTE TREATMENT SYSTEMS, EVALUATION & DESIGN
This only reprcscnts my- proflvs�,.,,Ional c -pinion a licciised soil scientist. Pert -nits
1o -ii,:nt per:,onnAl con,_,.ur \,vi th tL.; f`i-adim7-_; F his
ofily be granted it"acalth &p,,,rIi
sincerclxx
Mil,,� HA'er
C Licensed Soil scicatis".
SOUTHEASTERN SOIL & ENVIRONMENTAL ASSOC., INC.
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION CIA/10IJ &ZMC.
INITIAL SYSTEM AfPjj--vTED 'ZI9, P4fv--ri a
DISTRIBUTION JE/ti,4- L...
BENCHMARK
NO..` k / r S"0 o a -M
-2,Xo e colo s, Z1pol
LINE FLAG COLOR ELEVATION
LOT 2 M(
REPAIR -MP
DISTRIBUTION s !3v
LOCATION ?a/r aF Lawn
G• -r4 c.x...
PROPOSED LTAR o�-
LENGTH (FT)
2- 1) V(" 1.r'" 7.r-
TYPICAL PROFILE
-T
cr 1 17 Y9 L<
DATE ��/ (`r
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