IPACNTE# 1 C 53`l Tit Harnett County Department of Public Health 29007
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
A n PROPERTY LOCA ION: CotcaoraP C .
ISSUED TO: OHO Lr LfJ6 SUBDIVISION �\C- e� 3ys tLPbE LOT #._
NEW* REPAIR ❑ EXPANSION 11 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: �9 ('t4"J`J 6j, s�
Proposed Wastewater System Type: Pv ,n —J\'- Q. /- W49DI 161 SYg,
Projected Daily Flow: 4-4,0 GPD
Number of bedrooms: " Number of Occupants: max
Basement ❑Yes No
Pump Required�s ❑ No ❑be required based on final location and elevations of facilities
Type of Water Supply: El Community
Community Public ❑ Well Distance from well 10 y feet Permit valid for. Xive years
Permit conditions: ❑ No expiration
Authorized State Agent: cr bs 5 Date: b SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t syZa of other permits. The permit holder is respa Bible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Imp vement 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, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shill be met Systems shall be installed in accordance
with the attached system layout.
ISSUED TO: /o t�n gl oG
Facility Type: ScS`� L ��
P
PROPERTY LOCATION:o�� Gt
SUBDIVISION LOT # a
New
❑ Expansion ❑ Repair
Basement? ❑ Yes ',W No Basement Fixtures? ❑ Yes )'No
Type of Wastewater System" ?"*12 Tru oL� Xo Q.Gayc-'I o.e., (Initial)
(See note below, if applicable ❑)
aS�lo QC>91„Ks0 o,.a SYS'SEf"n (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size R a o o gallonsEzaa length of each trench 37a feet Trench Spacing: Feet on Center
Pump Tank Size ') or'0 gallons Trenches shall be installed on contour at a Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Wastewater Flow: 'L-16 0 GPD
Pump Requirements: ft. TDM vs.
Conditions:
"
Maximum Trench Depth of:aLl inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
Qct C-R 6511,.2 _;iC
inches below pipe
Depth: inches above pipe
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: / ondeatand the system type spedfed is diHereat from the type spedh'ed on the app/nation. / accept the spe6femions of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization ore revootion if the site plan, plat or the intended use changes. The Construction Authorization shall not he transferred when there is a flange in ownership of the site. This
construction Authorization is subiect no mmplia ' the�rarisior of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: 'moi, \�\\\ 14r>10 Date:
Authorization Expiration Date:
127.23'
-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 linea.
-Some lines are flagged longer in the field than
lengths Indicated above.
.No foundation drains.
System: Pressure Manifold
Lines:1-8 , (370')
0.4 Soil LTAR
24' Trench Bottom
100.30'
• 9-12, (305')-�I System: t
Soil LTAR
Trench Bottom Repair.
:Dted Status System
o®
SCALE:
1 ” = 60 ft.
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et�a,l )b
tqe�°
wed
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�VeNC'35
T�
Jot" 195
Central Carolina Soil Consulting, PLLC Drown 6y :
1900 South Main Street, Suite 110 Lot JOB DESCRIPTION Data : 0 Of
Wake Forest, North Carolina 27587 Revision: 0!
Phone (919)569-6704 Fax (919)569-6703 Hornet County, North Carolina Atkins Village Subdivision
N-2 PeT� 45• —
N„Cyan e70.
ryry��
W
e10 Rea 110
L6
I Ilk 80
-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 linea.
-Some lines are flagged longer in the field than
lengths Indicated above.
.No foundation drains.
System: Pressure Manifold
Lines:1-8 , (370')
0.4 Soil LTAR
24' Trench Bottom
100.30'
• 9-12, (305')-�I System: t
Soil LTAR
Trench Bottom Repair.
:Dted Status System
o®
SCALE:
1 ” = 60 ft.
`Z61v5
et�a,l )b
tqe�°
wed
a"
�VeNC'35
T�
Jot" 195
Central Carolina Soil Consulting, PLLC Drown 6y :
1900 South Main Street, Suite 110 Lot JOB DESCRIPTION Data : 0 Of
Wake Forest, North Carolina 27587 Revision: 0!
Phone (919)569-6704 Fax (919)569-6703 Hornet County, North Carolina Atkins Village Subdivision
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: C
Proposed Facility: Design Flow (.1949). iA0 �� 1
Location of Site: Property Recorded:
Water Supply:ublic❑ Individual ❑ Well
Evaluation Method: Bo g Cl Pit ❑ Cut
Type of Wastewater: Zksewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
Description
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
OTHER
-PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogyl
.1942
Soil
Wetness/
Color
.1943
Soil
Dmth IN.
.1956
Sapro
Class
.1944
Restr
Horiz
C S L
syr
3C�P>�kz
�' �s)nD
Pr
Q
o
t_5
Z ,
)a. -A,
-59--
9K
P5
Description Initial Repair System Other Factors (1946):
System Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System Type(s) Others Present:
Site LTAR