Loading...
IPACHTE# L, IML) Harnett County Department of Public Health 29425 Improvement Permit A building permit cannot be issued with only an Improvement Permij, PROPERTY LOCATION: hiun,SCrz:A Kv ISSUED TO: WELC�cO OrrcQP(TpO<SiNCi SUBDIVISION H%oc)Ess La1c65 LOT#li- NEW,'K REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: c-, Proposed Wastewater System Type: �-5'�4 QEn vsss oA Ern Projected Daily Flow: t-t'$O GPD Number of bedrooms: " Number of Occupants: _max Basement ❑Yes �KNo Pump Required: Dyes "KNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: El Community �K Public ❑ Well Distance from well i OC) feet Permit valid for. Alive years Permit conditions: _ ❑ No expiration Authorized State Agent:: t (ZG The issuance of this permit by the KnIth Deparunent in no way Rua ranle site is subject to revocation if the site plan, plat or the intended use changes.' the taws and Rules for Sewage Treatment and Disposal and to conditions of this Date: 31 1211 1—) SEE ATTACHED SITE SKETCH of other permit. The permit holden is responsible far checking with appropriate governing bodies in meeting their requirements. This vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of Construction Authorization Reauired for Building Permit The commuction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references too this permit and shall be met. Systems shall be installed in accordance with the attached system layout ISSUED TO: �f{'CLS,C'0(�'S 1-4 PROPERTY LOCATION: tyV25FJL) SUBDIVISION "A N cm "I LOT # Facility Type: V O 5 �i301� New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? 11 Yes [>o Type of Wastewater System'* a 5"lo Y1ilVeTRC21JoSEt. (Initial) Wastewater Flow: LN80 GPD (See note below, if applicable ❑) 1 �7S .—(Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size VbOd gallons Exact length of each trench SO feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. )_ �`� inches Maximum Trench Depth of: dt430 inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-I/4" 36" above the trench bottom) in all directions) Pump Requirements: h. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: RvE ) 2i t✓ S w ALE �\q-o U N fl �Oq("-\ ,N IF E2A inches total 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. **If applicable: / onderrzand the system type specified it diherent from the type specfh'ed on the application. / accept the specibcadonr of this permit Owner/Legal Representatl lure: Date: This Construction Authorization is subject to revocz i e Ian, plat or the intended use changes. The Construction Authorization shall not be transferred when there u a change in ownership of the site. This Construction Authorization h b comPIm wi e p he Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: Authorization Expiration Date: HTE# ��' —i0`a��i Permit # Q-'�t1a� Harnett County Department of Public Health Site Sketch \ 1 PROPERTY LOCATON: NvaJ n / PD ISSUED T0: W GLZCt7 xaLc�c� a \ SUBDIVISION H � c3c E,., LY—G\S LOT # �_ Authorized State Agent: Date:j)���� RGo�a.e�i _ / SRA V ND 1rz-i wou� 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(�yF,.� Design Flow (. 1949): LijQ)7 Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Methods Au r Bo 'ng ❑ Pit ❑ cut Type of Wastewater: Sewage ❑ 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 .1943.1956 Soil Depth IN.) Sapro Class .1944 Restr Horiz L lU-�i0 SSX sGt ,� la0 kv G SL 3 0-i lA G L5 li,_y6 Sgks�i �5� 5L Description Initial Repit System Other Factors (.1946): System I Site Classification (.1948):1"3 Available Space (.1945) Evaluated By: ov System Type(s) Others Present: Site LTAR