Loading...
IPACHTE# ~o~5a3~7 Harnett County Department of Public Health 2 5 9 2 3 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Sv hNiX-4 r ti's ISSUED TO: r, o N44-1 cl-07i ~ 1,1Z:i mi?J5 SUBDIVISION \r~ cacL,o, pyq.p LOT # NE4~< REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance: Type of Structure: _ N P,-1 . V-)0 n (ty ~ Proposed Wastewater System Type: C~N~►6 sC~O rt p•L Projected Daily Flow: b GPD Number of bedrooms: Number of Occupants: 1- _max Basement ❑Yes No Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public X Well Distance from well 1D0 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: _ Date: 3 10 lO SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance f other permits. The permit holder is res onsible 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 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: eV117111'I `jcoT `~i~onc~S Facility Type: Horn V New Basement? ❑ Yes No Basement fixtures? ❑ Yes Type of Wastewater System'"* C.c N'J C "o N A PROPERTY LOCATION: $V N NLENE. 'E2 ynJ SUBDIVISION NUyyc;'VJ C-Igw LOT # 1 ❑ Expansion ❑ Repair XNo (See note below, if applicable rrc 10N P (Repair) Installation Requirements/Conditions Number of trenches t Septic Tank Size I o o gallons Exact length of each trench t ©O feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: N% ``.10 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM (Initial) Wastewater Flow: QOZ GPD Trench Spacing: Feet on Center Soil Cover: (S inches (Maximum soil cover shall not exceed 36" above the trench bottom) c r Aggregate Depth: Conditions: ~ 1--" ~ J t) - aeN'C, inches below pipe a inches above pipe inches total **If applicable: / understand the system type specified is different from the type specified on the 7pp&3tion. /accept the rpeci6cationr of this permit. Owner/Legal Representative Signature: Date: This Construrtinn Authnruatinn k -hi- m 111111-1. r - --t- ~muuuwon Huu«u«ueuun snap nor oe transterrea when there is a change in ownership of the site. This Construction Authorization is subject to compliance w is f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 10 1 Co uction Authorization Expiration Date: HTE# 1 0 Permit # ~T,3 Harnett (county I)epail neat of I_Nlblic nealth ~ ite Sketch. PROPERTY LO(ATON: 6 y N Nl.,E4 _v C.2w ~ 0 ISSUED T0: rrh cri t-~ ~cr,~ SUBDIVISION LOT # Authorized State Agent:5 (oL,vall_ -~oLx cQ Date: 3 ttiol ~d -AN D Dqm"led o(~ Haft and Netmai Reaounp Sheet: ou-stye watowdu sad= Pnwnr ID: Lot d: SOUAM &VALUATION Filed: for ON-SYTIR WASTLWATU SYSTDI Code: Owner: AppUcaat: Addle ` f DNe Eva=ted: L LI mod - Oil PPiDedp WatyReeo(.1949)-. Pi°pmt! Styx WSW dir. P -aft r ov" 13"Well p spdas 0 odw Ty" 0[ waft"a10t: Ser p 0 fiat Process Mbad R O I L lI N 90Q.1 o""OL+OGY .194e L~~ Heelcv l'aiYod T ~1n in k 1941 OOOr»~ N~1wr cdw sllr j~~ Z 77, .1941 I 19M ~ S-. ~J f l S, i w 4 I lc /J V/ ~ _r Jr -5~- c- j- I4LA-fV1 .1944 L >t Raw CIO _d "z- She cbmaadaa (.1944 5 Bled Hy: 07 Odmn Pressor am