Loading...
IPACHTE# ����� �1 Harnett County Department of Public Health hDrovement Permit 27182 A building permit cannot be issued with only an Improvement Permit C PROPERTY LOCATION: \,I1 gra 'QZ ISSUED TO: VICdM� -5 SUBDIVISION VaL4,r.t LOT # SA NEW'K REPAIR 4 I EXP ION El Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S � ` L)"-) A6 � ' Proposed Wastewater System Type: V0 ­)3-1_0 2-S Vo Or1 Projected Daily Flow: t -'rib® GPD Number of bedrooms: 4 Number of Occupants: max Basement ❑Yes KNo Pump Required: Wes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well ©® feet Permit valid for: Five years Permit conditions: — - �� ❑ No expiration Authorized State Agent:: Date: SdI'a0AI NZ- SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance ter permits. The permit holder is respo 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 Improvement ermit 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, .1951, .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: S f�'1.ry �Ao V2 PROPERTY LOCATION: `u.E= SUBDIVISION F- MyIS5 LOT # L Facility Type: s� ®� ��l xS�� New ❑ Expansion ❑ Repair Basement? ❑ Yes �5k No Basement Fixtures? ❑ Yes X No Type of Wastewater System** yts'�4�c �l .S�o �GpvG� l ��t �5 GSA-, (Initial) Wastewater Flow: U►�� GPD (See note below, if applicable ❑) -, 'Qy ctrl �-�Gfa f-cwG� l d t,� (Repair) Installation Requirements /Conditions Number of trenches 1 Septic Tank Size t- 0 o c gallons Exact length of each trench 1 "80 feet Trench Spacing: `1 Feet on Center Pump Tank Size L0o 0 gallons Trenches shall be installed on contour at a Soil Cover: (T inches Maximum Trench Depth of: Tq -36 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 inches below pipe Aggregate Depth: inches above pipe Conditions: 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: /understand the system type specified is different from the type .specified on the application. / accept the specipcations of this permit. Signature: Date: This Construction Authorization is subject to ion if the sit Ian, 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 subject to complian%.jith o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 101Z, Construe Authorization Expiration Date: HTE # i'2-.- S- Permit # '� I �� Harnett County DepaAment of 1"nblic Health Site Sketch PROPERTY LOCATON: \4 1 (I-C-- -�-D ISSUED TO: SUBDIVISION LOT Authorized State Agent: S (-Q I, 4ai, "To L�§ Date: � t Y1 vo va- (3 L-1 4 C-- SO :s I N �9,:N Z,\Q-p Qn- 3))q 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: t3 G SgL Design Flow (.1949): Location of Site: Property Recorded: Water Supply: EjPublicEl Individual ❑ Well Evaluation Method -f Auger Boring ❑ Pit ❑ Cut Type of Wastewater: -4. Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Other ❑ Mixed P R O F I 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 .`(� Q Description Initial S stem Repair System Other Factors (.1946): Site Classification (.1948):S Evaluated By:C Others Present: Available Space (.1945) si System Type(s) V r `Ie Site LTAR .`(�