Loading...
IPACHTE# 0 9 -s=aa39'._ Harnett County Department of Public Health 25288 Improvement Permit A building permit cannot be issued with only an Improvement Permit p PROPERTY LOCATION: S/L/tJ e~ lei ISSUED __T~rO J_k c~ . SUBDIVISION "A LOT # 7T NEW L~ REPAIR ❑ EXPANSION El Site Improvements required prior to Construction Authorization Issuance: Type of Structure: ~F i) q,) X a Proposed Wastewater System Type: a~1 yQPv- ~ Projected Daily Flow: JZ 0 GPD Number of bedrooms: 3 Number of Occupants: (o max Basement ❑Yes C"No Pump Required: ❑Yes 19 No ❑ ;?'Public be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Well Distance from well feet Permit conditions: Permit valid for. ET-Five years ❑ No expiration Authorized State Agent:: W 4 Date: 'Z 00 SEE ATTACHED SITE SKETCH The issuance of this permit by the 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 taws 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, AM, .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: c`.) _ imA s-k %,,s'1(i-s,c_ r, w PROPERTY LOCATION: St 9 Facility Type: L5'- F _ 0 ""New Basement? ❑ Yes No Basement Fixtures? ❑ Yes Type of Wastewater System** C o, V e (See note below, if applicable SUBDIVISION 7' '.4 (i..tc- LOT # ❑ Expansion ❑ Repair ❑ No (Repair) Installation Requirements/Conditions Number of trenches f Septic Tank Size 1 000 gallons Exact length of each trench Roo feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. d -.3~ inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: 10V e Uri dreg 11tigl or, con.t yd- 54e- f da,, ' ,v~ r (zq 6 c r. (Initial) Wastewater Flow: LJ~~ 6 GPD Trench Spacing: _7_ Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: ~L inches above pipe C-_ V t Jed /z inches total **If applicable: / understand the system type specified is different from the type specified on the app/ration. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation if the site plan, plat or the intended use cfianges. The fonstruction Authorizat on shall not be transferred when there is a change in ownership of the site. This „ u nrQUUU Is suoleu lu cumplance 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 Age Date: S Construction Authorization Expiration Date: P z~ HTE# ©7-S= -2k,7 ? Permit # 2 TF Harnett County Department of ll~iblic Health Site Sketch / PROPERTY LOCATON: S.2 f[~ d. ISSUED T0: s's SUBDIVISION LOT #J _ Authorized State Agent: . f Date: -7 /~''~a ro„ r0ss ✓Ca0.dr k-~ ueparttnantut cllvounment, nedmul, d11U NdWldl ne,vuit,eD Division of Environmental Health On-site Wastewater Section SOILiSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Address: Proposed Facility: Location of Site: Water Supply: Evaluation Method: Type of Wastewater: Design Flow (.1949): ubltc [ J Individual J,j A Boring 7er age Jl leet. Property ID: Lot File Code: Applicant: Date Evaluated: Property Size: Property Recorded: Well [ J Spring [ J Other [ j Pit (j Cut ( ) Industrial Process (J Mixed P R o F SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS 1 L E 0 .1940 Landscape PositkW SI % Horizon Depth IN. .1941 Structure/ Texture .1941 Consistence Miners .1942 . Sol Wetnesar Color .1943 Sol 000 IN.) 1986 Swe Class ; .1W Resit Hak Profile , Class 3 LTAR f U-37 AS L -~V V, 1 ~-17 (15L lG >-7` Description Initial System Repair System Available Space (.1945) l System Type(s) ISIte LTAR ~II Other Factors (.1946): Site Classification (.1948): ids Evaluated By: Others Present: