Loading...
IPAC RHTE #i rZ Harnett County Department of Public Health Improvement Permit 27538 A building permit cannot be issued with only an Improveme Permit PROPERTY LOCATION: C) Oct ISSUED TO: \4J'`M N"1 SUBDIVISION `�szo'�Ec2S R �o� LOT # NEWX REPAIR ❑ ElH' SIGN El Improvements required prior to Construction Authorization Issuance: Type of Structure: °� cL° x�", Proposed Wastewater System Type: g0 sr\Q ti 6 `tPVr , SGU Projected Daily Flow: Cc ® GPD Number of bedrooms: ' Number of Occupants: Cc max Basement ❑Yes > No Pump Required:''es ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well C feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: _ `i� S Date: I )2,0113 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the is f other permits. The permit holder is respo ible 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 Impro s 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: ��tv rF521)��Osy tN� Facility Type: i� New Basement? ❑ Yes No Basement Fixtures? ❑ Yes 0 PROPERTY LOCATION: oc-S SUBDIVISION LOT # ❑ Expansion ❑ Repair ` �Jo Type of Wastewater System ** U Q '740 ( o I-J--® UC;C\\pN (See note below, if applicable ❑) Q U rs"P —ye' U OT 10 1� (Repair) Installation Requirements /Conditions Number of trenches Septic Tank Size t ® ® � gallons Exact length of each trench -X® 0 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: \% °��'� inches (Trench bottoms shall be level to +/ -1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: (Initial) Wastewater Flow: 3% d GPD Trench Spacin : Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Aggregate Depth: inches above pipe inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. * *If applicable: /understand the system type specified is different from the type specified on the application. / accept the .specifications of this permit. Owne Signature: Date: This Construction Authorization is subject to r ' n if the site pT2Nklat, or the intended use changes. The Construction Authorization shall not he transferred when there is a change in ownership of the site. This Construction Authorization iss"o compliance ' the e�the s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: --3 Construe Authorization Expiration Date: flu HTE# la- 5 -3 IL-) CC 9, ISSUED TO: �-j -y Authorized State Agent: M Perrmt# a`7 S31 H(arnett County Department of Public Health Site Sketch PROPERTY LOCATON: 0 oc's P-13 (:7: SUBDIVISIONT-- C-c LOT # C,_5 Date: M Y,,c- 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: -� p L Design Flow (.1949):3 © � Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Method: El Au er Bortng Pit ❑ Cut Type of Wastewater: /Sewage Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Other ❑ Mixed 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 ti5 NN (L 14) � au 3� s� JzS�A V2 515p p S Description Initial System Repair System Other Factors (.1946): Site Classification(. 1948): Evaluated Bye V Others Present: Available Space (.1945) j System Type(s) D "fin Site LTAR