IPACHTE# )6Harnett County Department of Public Health 28930
Improvement Permit
A building permit cannot be issued with only an Improvement Perm
(� PROPERTY LOCATION:
Q01-0('
ISSUED TO: RoNa 0 a� pb.oG ate
• G. SUBDIVISION i ->_ACC- LOT # 30
NEW'X REPAIR ❑ NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: ��-�-4CLag r G'"7
Proposed Wastewater System Type: e1�°I° P.f_ovLK10., SYS �C^,N1
Projected Daily Flow: t r`bd GPD
Number of bedrooms: IJ Number of Occupants: $ max
Basement []Yes No
Pump Required: Dyes -XNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community _,i;Z Public ❑ Well Distance from wellV�) Q feet Permit valid for. Aive years
Permit conditions: !1 c cc ❑ No expiration
Authorized State Agent: \ V v 5 Date: - , b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu f oder permits. The permit holde is resp Bible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation it the site plan, plat or the intended use changes. The Improvement 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, .1957, .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 atached system layout
ISSUED T0:
RO /�L Otxcs �,C76,
GHQ.
PROPERTY LOCATION:
\�D
Facility Type:
5(F0 Cf S x6-4)
New
SUBDIVISION
❑ Expansion ❑
Ns V 5 L3,A Gr: LOT # 3 O
Repair
Basement? ❑ Yes Z�K No Basemign{ Fixtures? 11 Yes bkNo \
Type of Wastewater System** G� ! o RCaD vhf S c7 ✓ �9 r6M (Initial) Wastewater Flow: 4?6 GPD
(See note below, if applicable ❑)
yc" ') C; L (�) z -0C- 4'(Repair)
Installation Requirements/Conditions Number of trenches �—
Septic Tank Size v 000 gallons Exact length of each trench "f S feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. Y7- inches
Maximum Trench Depth of 'ZLL"ii_ 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
(�Q A re�gate Depth: inches above pipe
Conditions: P(i1.�nsS O�'�E1J G "t P6W9oS SkZ-1 vy� \\JIQ \G1`11k(5 17 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 system type spedrled is different from rhe type specified ar, the applicifdon. / accept the specifications of this permit.
Date:
This Construction Authomadon * t m revoadon if the site plan, plat or the intended use changes. The Construction Authorization shall cot be transferred when there is a change in ownership of the site. This
Construction Authorization is s ct to mmplia t isions 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: ---f
6lstruction Authorization Expiration Date:
System:
Repair:
*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.
Hi'E 16-5 31►q%-)
Atkins Village, Lot 30pEr.n c a6d`m
4 -Bedroom Septic System Layout
May 2016
SITE PLAN APPROVAL
DISTRICTVA USE
U
GRAPHIC SCALE
1 " = 50'
50 0 50 100
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: 1---,C'602� Design Flow (.1949): Li�0 �QO
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method. Aug Boring El Pit F1 cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Coe:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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 IN.
.1956
Sapro
Class
.1944
Restr
Horiz
f
a 1-5
- s
d S
G L5
�Ifti..�,SIvQ
c;
i.
O -3G
36-vY
591E c
�� �r5e
3�
Description Initial Repair System Other Factors (.1946):
System/ Site Classification (.1948):OS
Available S ace(.1945) Evaluated By:�
S stemT s P LSLDC Wl ���Others Present:
Site LTAR 5 3
4xc\S e- a, �3�SG� Opi i�2C�051�