Loading...
IPACHTE# /a-,=aea-Vo Harnett County Department of Public Health Improvement Permit 2 6 7 9 9 A building permit cannot be issued with only an Improvement Pf~milt / PROPERTY LOCATION: ~cssJ~. f~~~A led. ISSUED TO- a L! 0. S z- SUBDIVISION LOT # NEW Rl REPAIR ❑ . EXPANSION ❑ Type of Structure: of f{ 7d- Xcf~t_ Proposed Wastewater System Type: (-c) ~.{=o-i-J, Projected Daily Flow: 3 G O GPD Number of bedrooms: -~3 Number of Occupants: Q, max Basement ❑Yes ET'-No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes l? No ❑ Ma be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet Permit conditions: Permit valid for: ©Oive years ❑ No expiration Authorized State Agent:: Date: ~r ° (2 Q t 2_ SEE ATTACHED SITE SKETCH The issuance of this permit by Health Department in no way guarantees the issuance of other permits. The permit holder is responsible 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 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, .1956. 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: Car C- z PROPERTY LOCATION: lea rfe✓- P ~ ti y~~( SUBDIVISION LOT # Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Xes ❑ No Type of Wastewater System** C Q'Ath.1'f (Initial) Wastewater Flow: GPD (See note below, if applicable Con.,le'..{ ~ cvt."-Q (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size oo 0 gallons Exact length of each trench /00 feet Trench Spacing: c/ Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: G '/2 inches Maximum Trench Depth of: 6 - X 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 G inches below pipe Aggregate Depth: inches above pipe Conditions: tYat 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: l understand the system type specified is different from the type specified on the application. / accept the specifIcations of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subiect to 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 subiect to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: f Date: a //0 1-2, ' 1' - Construction Authorization Expiration Date: 2-11 ° a o/ 7 HTE# /2- -5-- 'k q0 Permit # 0, _7 9 y Harnett County Department of Public Health Site Sl~etc3ll PROPERTY LOCATON: /~o1Ser ~'Tffi'oe~ /eJ. ISSUED TO: Ca. ~~e-~ c. ~J G ^~Ae Z-- SUBDIVISION LOT # Authorized State Agent:- Date: a (26/2- ~S r CG cx.f~ 40'cre, ~ &A /?d. I Site Department of Environment; Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheet: Property ID: Lot File Code: Owner: Applicant: Address: Date Evaluated: Z6) Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Property Size: Water Supply: Pu 'c❑ Individual ❑ Well Evaluation Method: Auger B ng 11 Spring* Type of Wastewater: Sewage ❑ Pit ❑ Cut ❑ Industrial Process ❑ Mixed P R O F SOIL MORPHOLOGY 1 .1940 .1941 L Landscape Horizon PROF E Position/ Depth 1941 .1942 # Sl .1941 Soil °pe 510 (in.) Structure/ Consistence Wetness/ Texture Mineralo Color ~ l 5- lntttal Repair System Other Factors (.1946): S stem Site Classification (.1948):'pr 1945) Evaluated By: 4/1'_ Others Present: ❑ Other OTHER L14J. 96 1944 ProFilSapro str Clas Class H,,;. & LIAR ofy f,7 ✓f 7