Loading...
IPACHTE# IC --s-asu33 Harnett County Department of Public Health Wrovement Permit 2 6 3 5 3 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ~v E QLZ ISSUED T0: H v ~ C)O2L5 CL-p%QC SUBDIVISION 1yJJNMG .t_ E~-c LOT # n NEWX REPAIR ❑ EXPANSION Site Improvements required prior to Construction Authorization Issuance: Type of Structure: n . yNio Ch Caa Proposed Wastewater System Type: C.o " vE^r ; k 0 rV PN 1„ Projected Daily Flow: 3(C' CD GPD Number of bedrooms: 3 Number of Occupants: ~o max Basement ❑Yes '4 No Pump Required: ❑Yes ❑ No "I May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community "X Public ❑ Well Distance from well tOd feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent:: lft~k \ \7N~ 0.(, 5 Date: i ~ 1 0 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuance er 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: y a t;rss } ©0 2\5 C L S>,W PROPERTY LOCATION: CJoyG'gti> SUBDIVISION bJ c,(ZZ LL_ Gam: LOT # Facility Type: a~ . ~rn6~ xs New ! ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement fixtures? ❑ Yes No Type of Wastewater System** C.0 N ; w-s ~n N AL-- (Initial) Wastewater Flow: 36b GIRD (See note below, if applicable C,o ram 6 r✓ S , d N NI (Repair) Installation Requirements/Conditions Number of trenches Ll Septic Tank Size 1(nOO gallons Exact length of each trench Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 11~~ (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: feet Trench Spacing: feet on Center Soil Cover. 17 inches inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: C, inches below pipe a inches above pipe S~. inches total WATER LINES (IN(LUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. *If applicable: / understand the ryrtem type tpecifled it different from the type rpecired on the app/ication. /accept the tpecificationr of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization 6 subject to revocauo a site plan, at, 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 the oft s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: R Date: SA Co ion Authorization Expiration Date: - HTE# 1C7-S- ~.S>.~33 Permit # ~.~353 Harnett Connty Department of Public Health Site Sketch PROPERTY LOCATON: ©ovE KD ISSUED T0: 1 v~-1-~ C-L- SUBDIVISION \A t~.CJOEt.L f=gc LOT # Authorized State Agent: S (a ti% 46Q %ot_r-.sz Date: A )40 kj6 r~ a a~, ~ a~a x i ►~4 zcvG 9Z Department of Environment, Health and Natural Resources Shed: Division of Em►ironmental Health Property ID: On-Site Wastewater Section Lot N: sowsrrt &VALUATION File for O Code: l t-SI I& WASTMATIMSYMN Owner. Applicant: Addr= Date Evaluated: 4o \d , Proposed Facalltr: gear Deaiglt Flow (.1949):36~-t," Pmperlj Size: Location of Site: Pmpedy Recorded: Water 3uppir Pubic ❑ Individual ❑ Well ❑ spring Evaluation Method: Auger Boring 0 Pit T e of Wastewate 3 Cut yp r sewage ❑ Industrial Process C Mixed P R O F I OLOOY CAA 7440 L L-Khe - PROFtt,g PAt'CI " j 9 POSWO ► N Slops ' k .1941 ,1941 soil 1143 Numb We Cola soil of i ' war rectors (.1946) Site Claesi8cadon (,1948) 5 Evaluated By: c, y Other Ptexr►t: ❑ Other .1976 1944 fto Srvro 14* CI O$ f. 5,