Loading...
IPACHTE# I C7'5-3�02�2 Harnett County Department of Public Health 28760 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: C— `^I ZSZNA v30 N , —N ISSUED TO: sorJ .Q -P oy I—t>"ff- SUBDIVISION LOT# NEW REPAIR ❑ EXPANSN ❑ Type of Structure: Mop ('76 e`30 JJ Proposed Wastewater System Type: 257is �FAvLSsOas Sys 6v Projected Daily Flow: 36© GPD Number of bedrooms: 3 Number of Occupants: Ex max Basement []Yes X No Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 'K Public ❑ Well Distance from well 100 feet Permit conditions: Permit valid for. Five years ❑ No expiration Authorized State Agent: Date: 3 16 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iss xse. of other permits. The permit holder is res onsible for thecking with appropriate governing bodies in meeting their requirements. This site is subject in revocation if the site plan, plat, or the intended use changes. The Improwenewit 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 squired for Building Permjt) 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: Jot soc sf ?\ PROPERTY LOCATION: C-VJ Joy SUBDIVISION Facility Type: 110 (� 63 O�/ New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basemjpt Fixtures? ❑ Yes X.No Type of Wastewater System** aS <a } `SOV Civ t v A,3 Sy5 7 —W, (See note below, if applicable ❑) a.S /0 ke—eb - SSS (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 10 0 d gallons Exact length of each trench S a D feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 1% inches (Trench bottoms shall be level to +/.I/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: LOT # (Initial) Wastewater Flow: 36 C GPD Trench Spacing: Feet on Center Soil Cover. -G inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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• / ondevataad the system type fpecifed is different from the type speciled on the application. / accept the spedlcations o/ thii 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 chance in ownership of the site. This Construction Authorization itto comp h inions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent R61a5 Date: 3 1% o tzuction Authorization Expiration Date: HTE# Permit # a' C O Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: C.w 50'4 1JSdN LN ISSUED TO: S NSA �allo > > �E ,, SUBDIVISION 1 LOT # Authorized State Agen 1� (ou vER `I of SSmSG� Date: 3' �"l 1 � ipj/ so L 1a $01iN5on� � -i;-K STV.O�LUMg1N '(� 3 VN RS 1'���,'4j �%S Gvz.f�ov<,� M(,�y fl`F-6,, >osY. 02✓,,w\NC 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: 5 OO'L' Design Flow (.1949)3£,0 S�� Location of Site: Property Recorded: Water Supply: ublic❑ Individual ❑ Well Evaluation Meth ooa'.� Auger Boring ❑ Pit ❑ Cut Type of Wastewater:[3-,Sewage El Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R 0 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 .1943 Soil Depth IN. .1956 Sapro Class .1944 Restr Horiz L� L� sS1G GL- 1144 7:7l,As(j2 y o) L VFX {,. a� C. Tr� �1 a 2p -ay 561- QL_ W sie "4 L Vj Description Initial Repair System Other Factors (1946): System/ Site Classification (.1948): PS Available S ace (.1945) Evaluated By: System Typo(s) YS' Others Present: Site LTAR 7-,