Loading...
IPACHTE#- C)"A -s aa~a6 Harnett County Department of Public Health 2 5 4 7 5 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: µwya❑w ISSUED T0: _ ~n6sE i-0ty SUBDIVISION C- >rp.,,,,i LOT # _ NEW REPAIR ❑ PANSION F-1 Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 ~ (S 1 q, A') Proposed Wastewater System Type: V-kovc r 1c1 rt Projected Daily Flow: 36 CO GPD Number of bedrooms: Number of Occupants: Co max Basement ❑Yes No Pump Required: ❑Yes ❑ No >(May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well O O feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: 9-1=1 The issuance of this permit by the Health Department in no way guarantees the ce site is subject to revocation if the site plan, plat, or the intended use changes. The Impr the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Date: _'S I ~ SEE ATTACHED SITE SKETCH of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This dement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of 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 shall be met. Systems shall be installed in accordance with the attached system layout. ISSUED TO: GIe NPc ZJ PROPERTY LOCATION: Nwy " .1 w SUBDIVISION Gcr,NA l~,v~t~l LOT # Facility Type: S LS I ~xyN~ X New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes 'M No Type of Wastewater System** a,S°!a_ _ SSE©u c~sw (Initial) Wastewater flow: KQ GPD (See note below, if applicable as°/Q Installation Requirements/Conditions Septic Tank Size ► 0(n C7) gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. ezouc5 so tJ (Repair) Number of trenches I Exact length of each trench Sap feet Trenches shall be installed on contour at a Maximum Trench Depth of: ►g inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover: -C. inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: Conditions: &xNa-p. LsNe a ~4ve-~tEO 90v RQe~~Gy inches below pipe inches above pipe inches total **If applicable: / amderrtand the system type rpeci6ed it different from the type ,rpecil'ed on the 7pplic3tio17. / accept the rpec111'wionr of thin permit. e resentative Signature: Date: This Construction Authorization is to revocation if the stl4gplan, 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 sect to compliance visio the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: N Date: 5 T~ a ction Authorization Expiration Date: S HTE # Permit # narnett County Department of 1--~ blic nealth Site Sketch PROPERTY LOCATON: \i-,,fl a1 w ISSUED T0: wGt~ N SUBDIVISION C-eLNP, }-O%mN ( LOT # Authorized State Agent: Q ~aLw~t 'Tcl.YsoVtt! Date: S1 r'(c SysSGcr 'co ~E LAy> ,j Celt; AFTE2 V,uDECt6~uSH ~S Gr-E1~47 Erb . 1 ~ 40P~2 A tL G P. v n, c~ ~ E. MP ~ Al E1~ ~ P u MP ~ ~ ~t Q ~ "~-Glu ~ CL~ - al}a ~C s I~ 0Q,A~NC',GLD ~ ~ ~O.A~UR~62.Q t~ 1 + H`,~ya1 Division of Environmental Health Property ID: On-site Wastewater Section Lot File SOIL/SITE EVALUATION Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: \ Date Evaluated: Proposed Facility: 3 4bQRDI rvW m6 Design Flow (.1949): U O iC Property Size: Location of Site: Property Recorded: Water Supply: Public (j Individual [ J Well [ J Spring [ ] Other Evaluation Method: uger Boring [ I Pit [ j Cut Type of Wastewater: ewage [ j Industrial Process (j Mixed P R o SOIL MORPHOLOGY . OTHER f- F .1941 PROFILE FACTORS 194Q .1942'. L Landscape Horizon 1941 1941 Soft 1lI43 1958 1944` Profile E Positton% Depth Structure( 'Consistence # Slope% (IN.) Texture Mineral Color - ' Depth IN.) ' Chas Horn - & LTAR i✓s o~3" vr~ Ns ) z Sao N~ ~ 3„ 41 1 % lb,n C& • 3 O- c'' C. 5 yF 7kI@ _ t0', 4 O~'R 5 vim, N s 0_16 - s L vr-/, N 16 36 sa>LSL~. Fa. Ss L 2 S ht Description S cw- Initial System P sb Repair System Available Space (.1945) System Type(s) W rf Site LTAR . 1-+11 l.~ Lm) (L -1 1 N \ L" , 3h c a. @, 34" Other Factors (.1946): Site Classification (•1948): V5 Evaluated By: 0'-N Others Present: J -1 us Py e5 e5 I