Loading...
IPACHTE# -15-5-3 7-13 Harnett County Department of Public Health 28635 Improvement Permit A building permit cannot be issued with only an Improvement Per"�t ` PROPERTY LOCATION: T -NN .� 1 �<2 ISSUED TO: aGP fG L t^iQmE-7 li N C. SUBDIVISION (�n i,S , G LOT # 1-;- NEW,K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SF9 �U6"a`SX j Proposed Wastewater System Type: pQ —F o -Q.S> ow Projected Daily Flow: -`!:,60 GPD Number of bedrooms: 3 Number of Occupants: max Basement []Yes >10 Pump Requiredes ❑ No ❑ be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Ma Public ❑ Well Distance from well 10Q feet Permit valid For. XFive years Permit conditions:_ ❑ No expiration Authorized State Agent.: ���e5 Date: S 17 I 1 b SEE ATTACHED SITE SKETCH The issuance of This permit by the Health Department in no way guarantees the i c{g�of other permits. The perod holder is responsible for shelling with appropriate governing bodies in meeting their requirements. This site is subject m revocation if the site plan, plat. or the intended use changes. The Improve ent 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 .1958, .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: �14-o-,[G-0_ i-iotnEs INC- PROPERTY LOCATION: �o\cL�PSC �- SUBDIVISION QrsMLOT # Facility Type: BW New El Expansion El Repair Basement? El Yes No Bazemeit Fixtures? ❑ esNo Type of Wastewater System" Pv m e o a 5 mho ot`Q C,i t 0 r r Em (Initial) Wastewater Flow: 26C) GPD (See note below, if applicable ❑) PvmQ moo 2`�/0 (Repair) Installation Requirements/Conditions Number of trenches LA Septic Tank Size s ©p gallons Pump Tank Size gallons Pump Requirements: ft. TON vs. Conditions: Exact length of each trench -70 feet Trenches shall be installed on contour at a Maximum Trench Depth of ati-30 inches (Trench bottoms shall be level to +/•1/4" in all directions) GPM Trench Spacin : � Feet on Center Soil Cover. ti � 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: / andeisiand the system type spedded it different from the type spedfled on the app/icadow. / accept the rpeabrations of this permit Signature: Date: cots tonswcnan aumonzabon rs mOject do she 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 tact tocomp a wit � � ns of the taws and Rules for Sewage Treatment and Disposal and to the sentiment of this pewit SEE ATTACHED SITE SKETCH Authorized State Agent: `k� Date: 7 1 tib Authorization Expiration Date: HTE# 15 — 53-1 r3i Permit # 'c 3,l 5 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: ISSUED TO: / SUBDIVISION LOT # a-)- Authorized sAuthorized State Agent: t—wFQ Date: I 1 +¢FNS O2+JG 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: 3 (6s11' i� Design Flow (.1949)3,6 4 rsv . Location of Site:Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method: E4uger Boring ❑ Pit ❑ Cut Type of Wastewater: USewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 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—Depth .1943 Soil IN. .1956 Sapro Class .1944 Restr Horiz �5 a s3 )c r -c "3S �5 • 3S Description Initial Repair System Other Factors ( 1946)- Syst9fn Site Classification (.1948): Available Space (.1945) Evaluated By: C) System Type(s) P : svV Others Present: Site LTAR ; - -