Loading...
IPACHTE # I—)' 5,'1)531—) Harnett County Department of Public Health 29543 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: Crn+ N1 L a ISSUED TO: >l o m Os t) (: .O S5 SUBDIVISION LOT # NEW TX REPAIR ❑ ExP� SION 11Type of Structure: M o0 X31, S' Proposed Wastewater System Type: SLS°/ is REZylr h e ta SCE xv Projected Daily Flow: 13, GPD Number of bedrooms: Number of Occupants: max Basement Dyes Site Improvements required prior to Construction Authorization Issuance: Pump Required: ❑Yes 25�No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public X Well Distance from well S �� het Permit conditions: Permit valid for. Five years ❑ No expiration Authorized State Agent: Date: `� 1 ] Y�] SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the i ce of other permit. The permit hold t resp Bible Ior 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 Buildin¢ Permit The construction and installation requirements of Pules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 am incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system layout M ISSUED T0: 1 a10chP5S �Q OBS PROPERTY LOCATION: GOx I 'stc SUBDIVISION LOT # Facility Type: OD. X New ❑ Expansion ❑ Repair Basement? ❑ Yes '>r No Basemf rat Fixtures? ❑ Yes XN Type of Wastewater System** alp/o �.Erwc.ty o w �y5SGM (Initial) Wastewater Flow: 3roGPD (See note below, if applicable ❑) n � ULTQPSNp Lttl+.a CMP/a,`�D (Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size T C)0 a gallons Exact length of each trench 3e�Q feet Trench Spacing: 1 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over. Ginches Maximum Trench Depth of: 1q� 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. TDM vs. GPM Aggregate Depth: Conditions: 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: / understand the grtem type speciled is different from the type specified on the application. / accept the specifications of this permit OwnertLegal Representative Signature: Date: This Construction 'on is subject to invocation if the site pian, plat or the intended use changes. The Construction Authorization shall not be transferred when then is a change in ownership of the site. This Construction Authorization iLbject ;once envisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: 6 Authorization Expiration Date: HTE# 53LA Permit # 2 °1S L�3 Harnett County Department of Public Health Site Sketch ISSUED TO: i atlrnaS G.0 Authorized State Agent: p�vn� Gwn,ACE PROPERTY LOEATON: (::-aK fn 1 L.i \Vr _ SUBDIVISION LOT # f) n CD I W OOH C G� TO ave C 1' M'L.L L aA Date: �*l Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIUSITE EVALUATION for ONSITE WASTEWATER SYSTEM Owner: Applicant 1 Address: Date Evaluated: 6 �'t, l _j Proposed Facility: 3 89'11"1 Design Flow (.1949): 34 a Location of Site: Property Recorded: Water Supply ❑ Public[] IndividualWell Evaluation Method -0 Au er Boring Pit ❑ Cut Type of Wastewater. ewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other Description Initial P Other Factors (.)946): S st Site Classification (.1946):5 R Evaluated By: S emT s t7��<.v� - O Site LIAR '3 F SOIL MORPHOLOGY OTS I .1940 .1941 -PROFRE FACTORS L Landscape Horizon E # Position/ Sbpe°k Depth pn.) .1941 Structret .1941 Consistence .1942 Soil Wetness/ .1943 Soil .1956 .1944 Profile Texture Mineral Color IN. S=Pm Class Rcatr Horiz Class & LTAR � L S .� -46%c c- Fin 5)f ?5 a -3d ss I,- L 71-V s1P V'5 QLn t,Yl 3 -1"): islL CL VI -1, blsc QO us CA_ s ©�o sg 3 c - p s. Description Initial Repair System Other Factors (.)946): S st Site Classification (.1946):5 Available S ce (.1945 Evaluated By: S emT s t7��<.v� - Others Present: Site LIAR '3