IPACNTE# I9—S-39 Vt Harnett County Department of Public Health 29006
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
f� PROPERTY LOCATION: Ct oQ ,z, C^
ISSUED TO: Roia�LlPvl�- JL9t"6• �aR • SUBDIVISION i�cS\�\� �l ��A6E LOT #
114 REPAIR p E) P NSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S� 1 15 hC�i/
Proposed Wastewater System Type: °/a 6 Ot'-�Ra" ys'fs•n
Projected Daily Flow: t-Ng0 GPD
Number of bedrooms: L� Number of Occupants: '06 max
Basement ❑Yes ;€ llo
Pump Required: ❑Yes ❑ No XMay be required based on final location and elevations of facilities
Type of Water Supply: El Community `)K, Public ❑ Well Distance from well 11) feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: s Date: -01-R111 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the h of other permits. The permit holder is resp nsible 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 Improvement Permit shall not be affected by a change in cromrship 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 commuction and insmllaton requirements of Rules .1950, .1951, .1954, .1955, .1956, AST, .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 T0: 5�o r Y L�Atis - G�4- PROPERTY LOCATION: LnDows�
l SUBDIVISION �X�w V + 66 LOT # a3
Facility Type: 5��45 x6`7 / New ❑ Expansion ❑ Repair
Basement? ❑ Yes '1�( No Basement Fixtures? ❑ Yes ' y No
Type of Wastewater System** &S% I,ew(f, / U y 575 S `M (Initial) Wastewater Flow: Lfeo GPD
(See note below, if applicable ❑)
as -/o
Installation Requirements/Conditions
Septic Tank Size l oo d gallons
Pump Tank Size gallons
Pump Requirements: ft TDH vs. _
Conditions:
2 Gam. s (Repair)
Number of trenches f
Exact length of each trench 2 ID feet
Trenches shall be installed oncaptour at a
Maximum Trench Depth of: � inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
_ GPM
Q
Trench Spacing: - ') feet on (enter
Soil (over. \-3-, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATIONS MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If appljable: / mndeatand the system type specified it different from the type specified on the application. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
This construction Authorization is sua ion 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
Constriction Authorization is sphjEq N compli m&'440 b 'the of the caws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Ytr--N45 Date: 8
ConItcluction Authorization Expiration Date: F
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOILSITE EVALUATION
for ONSITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility:y Design Flow (.1949): tjV �
Location of Site: TJ Property Recorded: -
Water Supply:Public❑ Individual ❑ Well
Evaluation Method:O\Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: '\P -Sewage ❑ Industrial Process
Sheet
Property ID:
Lot #:
File #:
Code:
Property Sim:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Structural
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth R4.
.1956
Sapm
Class
.1944
Restr
Horiz
�<
y
C7
=L
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available -Space .1945) Evaluated By:
System Type(s) Others Present:
Site LTAR
S11iE SIrl GSC.4 NTE 16-5 35�5C�
ATKINS VILLAGE, Lot 28 r, agog 6
4 -Bedroom Septic System Layo,
MAY 2016 \�� R(y�15 4'dh116
v �
p
i,
v rG eiw 1,0' �Q
050r 110' .
rl pnk 115' ��
r3 Rb M'
r2 v,vp„ rT not ossa"'�(,
System: M++www
Repair:
GRAPHIC SCALE
1" = 50'
50 0 50 100
SRI
.Keep Tanks and Drain lines 10'
from property lines.
-Not a Survey
*Not a guarantee o1 a septic permit.
•Keep supply lines >5' from properly lines.
.Some lines are flogged longer in the field than
lengths Indicated above.
.No foundation drains.
System: M++www
Repair:
GRAPHIC SCALE
1" = 50'
50 0 50 100