IPACHTE#- -3030 0 Harnett ,, Department ,..... Public • I...
1 1 1 11 1 1 1.
A building permit cannot be issued with only an Improvement Permit
\` PROPERTY LOCATION:
ISSUED TO: r y � E, SUBDIVISION LOT # 3 '11
NEW`K REPAIR ❑ E PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5KD Q56 AG4-
Proposed Wastewater System Type: �- a °/o -9's' 'J G N
Projected Daily Flow: L`$ O GPD
Number of bedrooms: u-1 Number of Occupants: _max
Basement ❑Yes No
Pump Required: Dyes '. No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community `X Public ❑ Well Distance from well feet Permit valid for: Five years
Permit conditions ❑ No expiration
Authorized State Agent:: ��� � �1�2�t
The issuance of this permit by the Health Department in no way guarantees t+
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: 1, Z 3 SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
"4o4t 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. tt��
ISSUED TO: mcxr-q. �Ac) PROPERTY LOCATION:
SUBDIVISION LOT #
Facility Type: ��® ' �''`h�� New ❑ Expansion ❑ Repair
Basement? ❑ Yes ` No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** �-5 °(o BarrjD j c;; C) N -Y 5—, Gtr. (Initial) Wastewater Flow: LNN'iQ GPD
(See note below, if applicable ❑)
as °/a 'p-E 9 u c-; s o 0 a-,1 — f-, (Repair)
Installation Requirements /Conditions Number of trenches D-
Septic Tank Size s oOd gallons
Pump Tank Size gallons
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench ') S feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. &'A _ ?5() inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: Feet on Center
Soil Cover: 1 1 inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
* *If applicable: / understand the system type specified is different from the type specified on the application. / accept the specipcations of this permit.
Owner /Legal Representative Signature: Date:
This Construction Authorization is sett 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
Authorized State Agent:
Laws and Rules for Sewage Treatment and
and to the conditions of this permit.
Date: t ').1)�
Authorization Expiration Date:
SEE ATTACHED SITE SKETCH
HTE# 12--S303C0
Permit# —%56 3
H-arnett County Department of Public Health
Site Sketch
I
MI
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: 1. ioMe-" Design Flow (.1949): 1'sj 0
Location of Site: Property Recorded:
Water Supply: Public❑ Individual E] Well
Evaluation Method -, Aug er Bo 'ng ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
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
LS
L4
OX
6 'LJ
vFE "I c IS Ni
16 4
-5
(�e
5 "-Z
3
a �a\
G c_,�;
S)rrz N5 )q
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: C
Others Present:
Available Space (.1945)
V
System Type(s)
a
9
Site LTAR
0