IPACHTE# 16-5 3`t 1 '�� Harnett County Department of Public stealth 28930
Improvement Permit
A building permit cannot be issued with only an Improvement Perm
(J PROPF'rS1CERTY LOCATIO : .S S LtAK{7
ISSUED TO: Fo /o C� oc� Q0)-06 • G4Q. SUBDIVISION V\K l)CC LOT # —60
NEW', REPAIR ❑ EWNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -5 -I si5 -'r'n
Proposed Wastewater System TyQPe:°/o I't'OV Csh o.r SY6—S C-- sse-N
Projected Daily Flow: f 1`60 GPD
Number of bedrooms: �, Number of Occupants: $ max
Basement []Yes XNo
Pump Required: ❑Yes —>?L No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community _,i< Public ❑ Well Distance from well1� feet Permit valid for. Aive years
Permit conditions: e— ❑ No expiration
Authorized State Agent: �� HS Date: 7 2O b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guanotees the issua f other permits. The permit holde is resp Bible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation d 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 in conditions of this permit.
Construction Authorization
(Required for Building Permitl
The construction and installation requirements of Rules .1958, AM. .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: SRO jcx,—
GRQ. PROPERTY LOCATION:
^ n
Facility Type: 5cz�o �'1S
`6��
SUBDIVISION
�( New ❑ Expansion ❑
S LLA, GE LOT # 3
Repair
Basement. ❑ Yes No
Basem nj
�/
Fixtu�rgg�s,. ❑ Yes �No
�5's'Eu.
\
Type of Wastewater System"
��
o licup vPX R Oki
(Initial) Wastewater Flow: �8V GPD
(See note below, if applicable ❑)
Q)
yf-�' .,T
G+- (Repair)
Installation Requirements/Conditions
Number of trenches 1-i
Septic Tank Size s O cp G
gallons
Exact length of each trench q S
feet Trench Spacing: Feet on Center
Pump Tank Size
gallons
Trenches shall be installed on contour at a
Soil Cover: 1inches
Maximum Trench Depth of: �_
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 TUN vs. GPM
Conditions:
0J
inches below pipe
Aggregate Depth: inches above pipe
t�Cc 9C5 LJ5 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 specified is different from the type specified on the app/kation. / accept the spych&cadons of this permit
Owner/Legal Representative Signature:
Date:
This Construction Authorization i m revocation 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 s - t to complia t mom of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Tl Date: 16
struction Authorization Expiration Date: 1 --
System: +NNeNr
Repair:
*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 are flagged longer in the field than
lengths Indicated above.
Wo foundation drains.
System: Gravity to D -Box
Lines: 1-4, (380')
0.35 Soil LTAR
24" Trench Bottom
H'S'E 16-5 34I��
Atkins Village, Lot 309ccu'K an—_40
4 -Bedroom Septic System Layout
May 2016
SITE PLAN APPROVAL
DISTRICT/ 1 USE S��
NCG'11t1f��w � Q�
Re air: y -T-& J - anel - GRAPHIC SCALE
P P Central Carolina
Lines: 5-7, (270') 1" = 50 Soil Consulting
0.35 Soil LTAR 50 0 50 100
36" Trench Bottom 919-569-6704
Accepted Status System Project # 1953
Department of Environment, Health and Natur, sources
Division of Environmental Health
On -Site Wastewater Section
SOIIJSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: In 2>00-n Design Flow (.1949): y bO t 4?O
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method. Aug Boring ❑Pit ❑ Cu[
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
OOTHER
F
I
L
E
#
1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
1941
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Minealo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
1
LS
d -`S
V�-tis�uP
7
C�
Description Initial Repair System Other Factors
�. P (.1946):
Atm Evaluated By
:CQ�S sSite Classification (.1948):
vLBLOC
stm S
Wl OR",,, Present:
Site LTAR ti 3
4 " c\ O� ],L,` O nl N orc7lS f\Z