Loading...
IPACHTE# , -a _.S =3i/82. Harnett County Department of Public Health Improvement Permit 27387 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATIONx54 Z 74 / /" ISSUED TO• &V(2AZd/Z6 SUBDIVISION LOT # Z- NEW REPAIR ❑ EXPANSION ❑ Type of Structure: 5{a Proposed Wastewater System Type: ' 2,6176 tj_26� Projected Daily Flow: �1 GPD Number of bedro�o ns: 4 Number of Occupants: (max Z Basement es ❑ No Site Improvements required prior to Construction Authorization Issuance: Pump Required: DYes ❑ No ❑ May required based on final location and elevations of facilities Type of Water Supply: ❑ Community 17 Public ❑ Well Distance from well feet Permit conditions: Permit valid for: 2-five years ❑ No expiration Authorized State Agek. ��«A19� 7- — Date: °) " 1a5 f S SEE ATTACHED SITE SKETCH The issuance of this permit by t 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 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: e-k1Z C_) PROPERTY LOCATION: / 1 ��� f �/'� - �,�' SUBDIVISION LOT # Z Facility Type: F= C7 'New ❑ Expansion ❑ Repair Basement? lY Yes ❑ No Basement Fixtures? © Yes ❑ No Type of Wastewater System** 'f; f U ' ( r� (Initial) Wastewater Flow: 3 GPD (See note below, if applicable ❑) 211"., (Repair) Installation Requirements /Conditions Number o trenches 3 Septic Tank Size / gallons Exact length of each trench JCO feet Trench Spacing: Feet on Center Pump Tank Size 160 6 gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of. 7- 6" inches (Maximum soil cover shall not exceed x /2' SZ•gd V (,A--S Pump Requirements: ft. TDH vs. Conditions: (Trench bottoms shall be level to +/ -1/4" in all directions) GPM 36" above the trench bottom) Aggregate Depth: 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. inches below pipe 2- inches above pipe '17, inches total * *If applicable: / understand the system type specified is different from the type specified on the app lication. / accept the speciTcations of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subject to revocation it the 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 compliance 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 ent: Date: Construction Authorization Expiration Date:" HTE# Z- Permit # �? 7 r R(arnett County Depru-tineut of Public He.-rdth Site Sketch J h4 bU-C' 6-F Aew-?) Z-- , , I 0-01' TD -7,1 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: 54,llc' �-- Address: Date Evaluated: Proposed Facility: Design Flow (.1949): O Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method: a Auger Bog ❑ 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 :" C 3a "{e S( S l!!(+r L Chi 3�a 0 yz .P . J �` 3 8 Description Initial S stem Repair System ZI Other Factors (.1946): Site Classification (.1948): Evaluated By Others Present: Available Space (.1945) System T e(s) '.s 74, Site LTAR 1 3 :"