Loading...
IPACHTE# oFA--5-a39 ,y Harnett County Department of Public Health 2 5 7 9 3 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: N~arbE~v Rs~ ISSUED TO: CAv , L-ss l ano l~wEu~r•~ r i SUBDIVISION ~o -s 4c~K5 LOT # 1:J-~__ NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S Ffl ( y'~ "U D Proposed Wastewater System Type: a f-QDU G.K 6 N SysTEM Projected Daily Flow: I-N4a GPD Number of bedrooms: ti Number of Occupants: max Basement ❑Yes "~R No Pump Required: ❑Yes "F!~No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1OO feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: I a 6 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Depart7theintended ay guarantees the is a of other permits. The permit holder is resp sible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation if the site plan, platuse changes. The Impro nt 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, .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: -pvsNGsS L-A*vflyec~~N~ PROPERTY LOCATION: N~~ra-y R~ SUBDIVISION ~UCLL- S~ O A~ LOT # Facility Type: New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes )KNo Type of Wastewater System" REOv; " C> -N Sys , Erg (Initial) Wastewater Flow: Li"S O GPD (See note below, if applicable RTr-OvG-c.0 tJ S -YS rn (Repair) Installation Requirements/Conditions Number of trenches I Septic Tank Size L 0 6 Q) gallons Exact length of each trench a.'7Cp feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: _6~inches Maximum Trench Depth of. I B 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: ~'a`~ L~rE Y 105: ~E 10, S=am rl\ SE,p ~t~ Sy 5 r--\ inches total '*If applicable: /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 subject to revoc~trathe use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This Construction Authorization is sub" t complians for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: QL-~s Date: Ia)) 40`+ Authorization Expiration Date: y:~- HTE # O`1- 53'-~ } t} Permit # aS7 ~t 3 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: Nva,s- j ISSUED T0: odoSr~ ~C~ ~aQ,~c,~z,s SUBDIVISION oats O piv,6 LOT # 1`1 I Authorized State Agent \ taus `SO2ksoot) Date: c D rc.pw ~ N t~C" 5 Dgmltment of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot k SOIIJSITE EVALUATION File e: Code: for ON-SITE WASTEWATER SYSTEM Owner: Applicant: A ddress: Date Evaluated: I jJa~ )a ci Proposed Location of Sine: °A 1 ra o ~ Property Reci Property Size: water Supply; ,Public 0 Individual ❑ Well ❑ Spring ❑ other Evaluation Method: Auger Boring 0 Pit cut S= Type of Wastewater ge Industrial Process N fixed P R O F SOIL MORPHOLOGY I 1940 OTHER . .1941 Haim PROFILE FACTORS E ~ .1941 Devdi .1941 .1941 Soil # SWpo% 00 Strt l .1943 .19m .1944 Proft TexprY (~~teeaa W0~ Ca1ar 15 Soil Sapro Ralr CIaN IN. Cleo Harts ♦ LTAR i ~ 1 C-4 ~'n Hs NP G SL ~~2! i ~ ~ ~ S V' JCL sf~ u _ ~S ~ ©-~a c ~'~-N3~►rP '•w ~ Sic ~ c..L Fn- 5'S ~ 5 e ; 0-;t4` x-46 G 5 v~-,~ ~,~~P ~~E SS►< ~ ~ ss) GrL ~ ~5 . cx scy, utner Factors (.1940 Site classification (.194sr _ Others Present. \