Loading...
IPACHTE# — 332/ Harnett County Department of Public Health 28990 Improvement Permit A building permit cannot be issued with only an Improvement Permit ��JJ PROPERTY LOCATION: Z��l�D - /e ddb c� ISSUED TO: � Alrl� SUBDIVISION bks 1�137 -T LO NEW LBS REPAIR El EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Proposed Wastewater System Type: Zai YZ - Ptoiected Daily Flow: GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes No Pump Required: es ❑ No ❑ May be quired based on final location and elevations of facilities Type of Water Supply: 111Community ublic ❑ Well Distance from well Net Permit valid for.I� years Permit conditions: ❑ No expiration Authorized State A L / Date: cS-24 —[I SEE ATTACHED SITE SKETCH The issuance of this permi Health Department in no way guarantees the issuance of other permia 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 prorisiom of the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit. Construction Authorization (Required for Building Permit) The constriction and installation requirements of Rules .1950, .1957, .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 TO: � lr1 /1 G PROPERTY LOCATIONX::x Z0 6, 0,sy 51—;FCf',9 /t.0 SUBDIVISIONLOT # z/L Facility Type: c5 1! New ❑ Expansion ❑ Repair Basement? ❑ Yes CZ No Basement Fixtures? ❑ Yes Type of Wastewater System" Z'E`S rLe (Initial) Wastewater Flow: 3G 0 GPD (See note below, if applicable ❑) (Repair) Installation Requirements/Conditions Number of trenches 3 t Septic Tank Size %b gallons Exact length of each trench $0 - 90 feet Pump Tank Size �— gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 22 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDM vs. GPM Conditions: Trench Spacing:—�j 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. 6 inches below pipe orches above pipe Z inches total "If applicable: / understand the system type spedled is different from the type specified on the application. / accept the specilcat/ons 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 Authorized Construction Authorization and to the conditions of this permit SEE ATTACHED SITE SKETCH Date: ZO -/ d2 pion Date: u --L4 —21 NTE#Ile - s - 317321 Harnett County Permit # 2 6 9 9 0 Department of Public Health Site Sketch - / / PROPERTY LO(ATON: x_/00 �0 61 /) Sof HiQ% ISSUED TO: coo , / )- --7�1G SUBDIVISION OX r�y2W S LOT # 1 Z Authorized State Ageh /_ ,— — G (� Date: L� I av, /CZ woc),6 S QFC Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOILISITE EVALUATION for ONSITE WASTEWATER SYSTEM Owner: Applicant: L l)4 — Address: Date Evaluated: �n\ Proposed Facility: 54�"� Design Flow (.1949): J (� Location of Site:��,,� Property Recorded: Water Supply: LyFublic❑ Individual ❑ Well Evaluation Method:❑-)Gg_er Boring ❑ Pit ❑ Cut Type of Wastewater: ❑--gewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I L E # .1940 Landscape Position/ Slope % Horizon Depth (In.) SOH. MORPHOLOGY .1941PROFILE OTHER FACTORS Profile Class & LIAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth W. .1956 Sapro Class .1944 Rear Horiz I z L B� o zd as�r 20 (IG .9, I4— O • o t, Description InitialRepair System Other Factors (.1946): system Site Classification (.1948): P'5 Available Space(. 1945Evaluated By: _ L System Type(s) Others Present: Site LTAR r