IPACHTE# I " 23, -1 Harnett County Department of Public Health 28923
hDrovement Permit
A building permit cannot be issued with only an Improvement Permit
(� p PROPERTY LOCATION: ��L.A >v S D ri
ISSUED TO: �Zcs /Q%L S (ni 9z:0 6 GO SUBDIVISION 141"N cc- LOT #
NEW ;N( REPApt ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S 6'9 (}T 5 %Q-7 Yf�
Proposed Wastewater System System T�l � 0 REDU 10" 5545 .
Projected Daily flow: L1'41t0 GPD
Number of bedrooms: L-1 Number of Occupants: max
Basement ''es ❑ No
Pump Required: -fifes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community -19� Public ❑ Well Distance from well 1 n0 feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent: Date: 1 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t a of other permit. The permit hol er is res nsible for checking with appropriate governing bodies in meeting Meir requirements. This
site is subject in revocation if the site pian, plat or the intended use changes. The Imp meat Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the pronsim s of
the laws and Rules for Sewage Treatment and Disposal and in conditions of this permit.
Construction Authorization
(Required for Building Permitl
The construction and installation requirement o1 Rules .1958, .1952, .1954, .1955, .1956, .1917, .1958. and Ali are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED TO: 'Q0 /Pt op.o PROPERTY LOCATION: Q0
SUBDIVISION GG LOT # a
Facility Type: SVD Cts21,67J New ❑ Expansion ❑ Repair
Basement? ❑ Yes -' No Basement Fixtures? ❑ Yes
No C
Type of Wastewater System** Qv ^ vc' N ° zts /"yCF 1 to >,s (Initial) Wastewater Flow: L�X Q_ GPD
(See note below, if applicable ❑)
PUMP -To Q.Eo Sys (Repair)
Installation Requirements/Conditions Number of trenches I
Septic Tank Size 1 Ori 0 gallons Exact length of each trench 3 N �I feet
Pump Tank Size 1 a o d gallons Trenches shall be installed on contour at a
Maximum Trench Depth of. A13 inches
(Trench bottoms shall be level to +/•1/4"
in all directions)
Pump Requirements: M. TDM vs. GPM
Conditions:
Trench Spacing: q Feet on Center
Soil Cover. 0 _ inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
inches below pipe
Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFr. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / understand the system type specified is different imm the type spedfed on the application. / accept the specihcatio77r o/ this permit.
Date:
This Construction Autho talion is so vocation if the site plan, plat or the intended use Manges. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is ct to come wit ons 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: 7 1 T6
ktruction Authorization Expiration Date: 1
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOHJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: UA G-(Dz� Design Flow (.1949): 4)3O
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:b A, car Bo 'ng C] Pit ❑ Cut
Type of Wastewater: 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.)
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
System Type(s)
L_5
G
G
G t S
qrzo .SSI
3 s
3
S C -L-
cZ ss�i�
1S
3
p
sg��
ss��
P 3S
Description
Initial
1 Repair System
Other Factors (.1946):
System
Site Classification (.1948): e 5
Available Space( 1945
Evaluated By: d
System Type(s)
P o a P
/
Others Present:
Site LTAR
3 s
3
*Keep Tanks and Drain
from property lines.
.Not a Survey
.Not a guarantee of a
lines 10'
septic permit.
ATKINS VILLAGE, Lot 21
4 -Bedroom Septic System Layout
MAY 2016
*Keep supply lines >5' from property lines.
.Some lines are flogged longer in the field than
lengths Indicated above.
*No foundation drains.
NSG 1 6-5-39 190
M 1
,ed Of
0110 ronge�5' 0
N
447' a10 Puryle S' rm�1
'? a9 Red
m
p8 Blue 50' 1 n
a7 .441' `O
1 m
a5 Yelbw 43' �
C
15' 1 m
SITE PLp`N AppROVAL
USE 5
DISTRICT �"
System: 4tNtf1+1M+
Repair:
GRAPHIC SCALE
1" = 50'
50 0 50 100