IPACHTE# Harnett County Department of Public Health 28920
Improvement Permit
A building permit cannot be issued with only an Improvement Permit [�
r� PROPERTY LOCATION I"z-, as Ro
ISSUED T0: SUBDIVISION -LS 1LLAk6- LOT # 0
NEWS( REPA ❑, EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S �(_L;%je6 I'�
Proposed Wastewater System Type: VufyY,
Projected Daily Flow: LAC) GPD
Number of bedrooms: L_ Number of Occupants: _max
Basement []Yes >�No
Pump Required.)Oes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ")K Public ❑ Well Distance from well NCO feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: YS Date:I >� I 1 6 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the is a of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject m revocation if the site plan, plat or the intended use changes. The Improhmitent 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..
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / anderstand the sfsiem type spech7ed it different from the type specified on the app/iration. / atrept the tpeti(cationt o/ this perxit
Date:
This Construction Authoritarian is subje vocation 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
Constmaion Authorizatum is subject to compliadR�t M Ions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent UqA3 Date:
Authorization Expiration Date:
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1959. 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: _a ��yP c-- Osp-"<5 q> -'VC Gw PROPERTY LOCATION: t�ik NS
Facility Type: 5qD C> '< 61�
SUBDIVISION
New ❑ Expansion ❑ Repair
LOT # Zt-)_
Basement? ❑ Yes �W No Basement Fixtures? ❑ Yes ❑1%
Type of Wastewater System** �)L.YhQ le
c*,SV'o Q<-.wX'XlaN S93"EGN
(Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
pvM2_70
').S% R60 • 'Jz3 (Repair)
Installation Requirements/Condifions
Number of trenches a
Septic Tank Size L no 0 gallons
Exact length of each trench IaO feet
Trench Spacing: c1 Feet on Center
Pump Tank Size t ood gallons
Trenches shall be installed on contour at a
Soil Cover. I 1 inches
Maximum Trench Depth of: ".4 14 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
p
Conditions: 5Y5SC r C79,SfiaD O.
nn
Qe%.oQn5%t_ Tact cArfiS
Aggregate Depth: inches above pipe
)_SS inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: / anderstand the sfsiem type spech7ed it different from the type specified on the app/iration. / atrept the tpeti(cationt o/ this perxit
Date:
This Construction Authoritarian is subje vocation 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
Constmaion Authorizatum is subject to compliadR�t M Ions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent UqA3 Date:
Authorization Expiration Date:
ATKINS VILLAGE, Lot 24 HSS 1te_5.3�
4 -Bedroom Septic System Layout PE1len\\ aB°1a 0
MAY 2016
V)
W �
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0 � 24
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*Keep Tanks and Drain lines 10'
from properly lines.
*Not a Survey
*Not a guarantee of a septic permit.
Weep supply lines >5' from property lines.
*Some lines are flogged longer In the field than
lengths indicated above.
*No foundation drains.
System: Pump to D -Box
Lines:4-5 , (240') System:+
0.5 Soil LTAR Repair:
24" Trench Bottom
Accepted Status System
Repair: Pressure Manifold GRAPHIC SCALE
Lines: 1-3,6 (290') 1" = 50' [CentralCarolina0.5 Soil LTAR 50 0 50 too oilConsulting
24" Trench Bottom 19-569-6704
Accepted Status System roject 1953
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: y l3oa i^ Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: 'Public❑ Individual ❑ Well
Evaluation Methodu Boring [I Pit ❑ Cut
Type of Wastewater: -[y 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
�v)L
3� t•
sg 1c xt-
F'� ss� 54
�5
�"
ei
3—
EA.vailable
tion Initial Repair System Other Factors (.1946):
S ste Site Classification (.1948): Q
S ace .1945) Evaluated By: G'(
T s V .-. yS_.�o Others Present:
R
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