Loading...
IPACHTE# o9-5-a3491 Harnett County Department of Public Health 2 5 8 5 5 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: "(:,oYCIZ ISSUED TO: WM Y-Q wt3sz C ~NL SUBDIVISION Pc.-z~,~,. QW S{ t L~ LOT # NEW REPAIR C~ ~XPANSION El Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S i=D (6 11'- Proposed Wastewater System Type: s% +2L- )u,--,~to~r Syg c~ Projected Daily Flow: '-NQ GPD Number of bedrooms: L-1 Number of Occupants: max Basement ❑Yes X No Pump Required: ❑Yes 4 No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community K Public ❑ Well Distance from well 100 feet Permit valid for: ❑ Five years Permit conditions: ❑ No expiration Authorized State Agent:: N"--" P E~ The issuance of this permit by the Health Department in no way guarantees the s 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.. +5 Date: 11113 I 1 SEE ATTACHED SITE SKETCH of other permits. The permit holder i responsible for checking with appropriate governing bodies in meeting their requirements. This Went 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 .19% .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: \-J m 1<E s , Psc~ c c- PROPERTY LOCATION: go ov&u SUBDIVISION Peas\MMoN NsL-L LOT #-3 FacilityType: New ❑ Expansion ❑ Repair Basement? ❑ Yes -15~r No Basement Fixtures? ❑ Yes '%/No Type of Wastewater System** 2s % ~~y~-tl o,z Sys (E~ (Initial) Wastewater Flow: L'N6 GPD (See note below, if applicable '015°l0 \r) 'J ~Y~Ern (Ranatrl Installation Requirements/Conditions Septic Tank Size 1,0a a gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Number of trenches 5 Exact length of each trench G<0 feet Trenches shall be installed on contour at a Maximum Trench Depth of: 1,18 inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: 9 feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe b Depth: inches above pipe Conditions: ~n1o,~~, Y +N~ Mug gE l0 ~2c t~ Ste; sc Sys Z 1~s sFi~ inches total '~5CP ©N PaoPoSs>.tr ~Lot~\ Q\eeL'\CA 'K5 So}t C~oNsuT'far~ **If applicable: / understand the system type specified is different from the type specified on the app/ication. / accept the specidcationr of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subject to revocation tf-t 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 subject to compliati Theision Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: --"Az Q, A5. Date: s s o Construction Authorization Expiration Date: 3 HTE# CA- S ~ cN l Permit It a 5's ~ ISSUED T0: _ \4 rn Authorized State Agent: Harnett County Department of h blic nealth i to Slietcll PROPERTY LO(ATON: \Aoov C-Z. SUBDIVISION ~z sA m -,o a W-- LOT # S \QL~v~;ri `CoLF.s9c~t~~ Date: 9 1 O L~ X13 6 l0 2,S °lo o Q.Es~ v c-S, tl N A N A Ir AI S E n v i ~53~ L- a I-), 01'D C-)Lx-~P L=,o~ Depar mad of FwAmamad, Health and Ngural Resources Division of Environmental Health On Site Wastewater Section SOBAITZ &VALUATION for ON-SITL wASTZwATIE SYSTEM Owner: Appliwot: Address Date Evalwouk ~I 1-4 Proposed Facility: G ea, Design Flow I9491,j: ' ,-j o P Location of Site: Property Recorded: t shed: Property ID: Lot f: File ii: Code: Property Size: water snppiy: mpubw o ~ D wen 8 Cut _B AuW Bming D Spring Evahlatim Method: Type of waetwata: Sewap D Industrial Proomt bBxed oother R O F 1 1940 SM MORPHOLDOY .1941 OTHER PROFILE FACTORS L 9 M IAmdmo.p Powdad Sk" % Harba~ one (1e.) 1941 ftuch" Ted .1941 Cao~irtwoo m1swelpff .1943 son webmw Cater .1943 son .1936 s pro C1w .1944 Rost Herb Pk Chw • LTAR t ~ Site CbNUWatian (.1940 e5 Eva u bd Hy: p-~ Other Present; 'Bosco ~u 3~-0~05~