IPACHTE# la Harnett County Department of Public Health 28922
hDrovement Permit
A building permit cannot be issued with only an Improvement Permits
PROPERTY LOCATION: Asxi `K
ISSUED TO: RCr/tkL ( �--e� J P, xa Q)a-O 6 G2Q SUBDIVISION Pre Y -N Ns ILL-PAGG LOT # Z
NEW< REPAIR ❑ EX ION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5 9 (445 je
Proposed Wastewater System Type: 2 �/oGD UL l o N �5'S6W"S
Projected Daily Flow: Nyz) GPD p
Number of bedrooms: " Number of Occupants: _q max
Basement ❑Yes No
Pump Required: ❑Yes *�YNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -:,K Public ❑ Well Distance from well IC'7O feet Permit valid for. *Five years
Permit conditions: ❑ No expiration
Authorized State Agent: N-iS Date: � 1}i SL SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Deparunew in no way guarantees the is ere of other permits. The permit holders repo ible for checking with appropriate governing bodies in meeting their requirement. This
site is subject m revocation if the site plan, plat, or the intended use changes. The Impro ment Permit shall not be a8eeed by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Laws and Rule for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1957, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into thin permit and shall be met Systems shall be installed in mcordance
with the attached system layout
ISSUED T0: Q�OYo.t_ PROPERTY LOCATION:
�S x��� SUBDIVISION N-5 )C. J S to > t�GE LOT #
Facility Type: S�fl New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'rwr No
Type of Wastewater System** ate! o RCD J C1�- 1 dla S� S i�rr (Initial) Wastewater Flow: a GPD
(See note below, if applicable ❑)
�.S'/o OGo • SYS . (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size t Oo gallons Exact length of each trench � feet
Pump Tank Size gallons Trenches shall be installed on cntour at a
Maximum Trench Depth — inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: fc TDH vs. GPM
Trench Spacing: 9 Feet on Center
Soil Cover: I'l inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
Conditions: Qeu"AM'`+ 'bp'sCro t -(P, L.S5
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
inches above pipe
inches total
**If applicable: / understand the smem type fpeciled it different from the type rpeciled on the application. / accept the fpecifimionr of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is subimaistievoetion 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
Authorized State Agent:
Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date:
Authorization ExDiration Date:
ATKINS VILLAGE, Lot 22 P+� 2M�� alb
4 -Bedroom Septic System Layout
MAY 2016
*Keep Tanks and Drain lines 10'
from property lines.
*Not a Survey
*Not a guarantee of a septic permit.
*Keep supply lines >5' from property lines.
*Some lines ore flogged longer 1n the field than
lengths Indicated above.
*No foundation drains.
SITE PLAN APPROVAL
DISTRICT. 3v USE S F
#BEDROOMS_
Hl,.,[ AL: 71NifiAtpTOR
s\a ae�
55
\ y\1 Pink 5a
System: +MMMM++h
Repair:
GRAPHIC SCALE
1" = 50'
50 0 50 100
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOH✓SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): `Ai, (0
Location of Site: Property Recorded:
Water Supply: �rt Public❑ Individual E] Well
Evaluation MethoMAu Being ❑ Pit ❑ Cut
Type of Wastewater: jy. Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOB. MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structurd
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wemess/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Resu
Hori
L.5
CLr2
ssi y�
P5
e�
a'
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):P }
Available Space .1945 7 a °) Evaluated By: c
System Type(s) Others Present:
Site LTAR
2,j eQO0 OS�\L