HomeMy WebLinkAboutIPACHTE # ss 36gcc Harnett County Department of Public Health 28414
Improvement Permit
A building permit cannot be issued with only an Improvement Permit /
D / PROPERTY LOCATION: �n e-
ISSUED TO- t � C / �' �e-SUBDIVISION LOT #
NEW Z REPAIR ❑ EXPANSION ❑
Type of Structure: /t'1 N /LC'X%
Proposed Wastewater System Type: .23-7.
Projected Daily Flow: a GPD
Number of bedrooms: 02 Number of Occupants: y max
Basement ❑Yes Eno
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes Flo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public ell Distance from well ZOO feet
Permit conditions:
Permit valid for:
0 --five years
❑ No expiration
Authorized State Agent:: w� . z2f iy Date: `712 y°lf SEE ATTACHED SITE SKETCH
The issuance of this permit bXe 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, .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 T0: A' -c t/ % C / I Lf(- PROPERTY LOCATION: A'4f-
SUBDIVISION LOT #
Facility Type:/" t l� LTJ" New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ^2J—X (Initial) Wastewater Flow: dy6 GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements/Conditions Number of trenches -Y
Septic Tank Size /Uy d gallons Exact length of each trench S'O feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of- Id -20 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
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
inches above pipe
inches total
**If applicable: /understand the system type specified is different from the type speciTed on the application. / accept the specircations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if 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.
Authorized State AgentX � — �: ,/�c� Date: 21? -CI -r—
v Construction Authorization Expiration Date: % A 12- ° a 0
SEE ATTACHED SITE SKETCH
HTE# %S =S� 340 6
Harnett County Department
Site Sketch
Permit # •Z8 ` 1y
PROPERTY LOCATON: �^ ei" 11.,A—
ISSUED
1.,A -
ISSUED TO: SUBDIVISION
Authorized State Agen
Date: 7/"I /-?- GIf—
LOT #
�1 a_8
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: L
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: ❑ Public❑ Individual 0 --Well
Evaluation Method: EKAuger BorisEl pit ❑ Cut
Type of Wastewater: ewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Fr
Available Space(. 1945) Evaluated By:,5p,
System Type(s)Others Present:
Site LTAR v d
P
R
O
F
I
L
E
#
1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941PROFILE
OTHER
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 L.K
y��
G
V 11—f
V11- A �1
Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Fr
Available Space(. 1945) Evaluated By:,5p,
System Type(s)Others Present:
Site LTAR v d