IPACHTE# lii6-&6111'�3 Harnett County Department of Public Health 28921
Improvement Permit
A building permit cannot be issued with only an(�Improvement Perpljt
p PROPERTY LOCATION: fT91Kl 1y K p
ISSUED TO: RO�gL 00'y-s'OilJ6 . GQ"F SUBDIVISION Pr'cNtis V 17—LLa+GE LOT # a _
NEW L9( REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SFO ��� ' �%
Proposed Wastewater System Type: le RF -p\)0 -,1V,4
Projected Daily Flow: t--1'% O GPD
Number of bedrooms: 1-1 Number of Occupants: 19 max
Basement ❑Yes No
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -,N Public ❑ Well Distance from well 'i Q) (3 feet Permit valid for. (Five years
Permit conditions: ❑ No expiration
Authorized State Agent: :� ��� fL�r15 Date: � ITh%' SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Depamnens in no w� ay guarantees she i2lea�ce 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 pian, plat. or the intended use changes. The Imp, ement Permit 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, .1951, .1954, .1955, .1956, .1957..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: 6o . GRR. PROPERTY LOCATION: ���� 95
l SUBDIVISION D0%4,� S %h-1 aGE LOT # �3
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes '1< No Basement Fixtures? ❑ Yes '�lNo
Type of Wastewater System** aS3lo 9_f_uvcn L0 NS -)z5 (Initial) Wastewater flow: GPD
(See note below, if applicable ❑) n'
fl.�'l e `c -(:Z • s) 5 • (Repair)
Installation Requirements/Conditions Number of trenches a
Septic Tank Size 1 ori G gallons Exact length of each trench ) oS feet Trench Sparing: Feet on (enter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: lot inches
Maximum Trench Depth of: - C' 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. TDM vs. GPM inches below pipe
C� ^ Aggregate Depth: inches above pipe
Conditions: Pebm � . 9> . C -D O N Q 2uPo5x+t -oto,., nWL)opt yt L ss inches total
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.
**If applicable: / understand the jpem type spedbed is different from the type spedfled on the app/icadon. / accept the rper&wionr o/ this permit
Owner/Legal Representative Signature: Date:
This Construction Authoritation is subj evontion if the site plan, plat or the intended use changes. The construction Authoriution shall not he transferred when there is a change in ownership of the site. This
Construction Authorization uzs4*a,lo mmplianre oviutffs of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: -%-1Jv V—) -0 Date: 24
Conlftction Authorization Expiration Date:
ATKINS VILLAGE, Lot 23
4 -Bedroom Septic System Loyout 1P C --,Lm
MAY 2016
SITE PLAN APPROVAL
DISTRICT 6W% USE 2E 0
#B6FiEiDOMS-
�Z��.�Ib
GAGRBflf WR
*Keep Tanks and Drain lines 10'
from property lines.
*Not a Survey
*Not a guarantee of a septic permit.
Weep supply lines >5' from property lines.
*Some lines are flagged longer in the field than
lengths indicated above.
.No foundation drains.
System: +++N+
Repair:
GRAPHIC SCALE
1 " = 50'
50 0 50 100
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: l\ ec>(Z Design Flow (.1949): L)?o f J
Location of Site: Property Recorded: J
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
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 W.
.1956
Sapro
Class
.1944
Restr
Horiz
�5
0736
Q L5
v3
Description Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948):4$
Available Space .1945) Evaluated By: CjT
S stem Type(s) 3 " Others Present:
Site LTAR •tet