Loading...
IPACHTE# /0.. - ,;ra 0 Harnett County Department of Public Health Improvement Permit 26310 A building permit cannot be issued with only an Improvement Permit J PROPERTY LOCATION: )5 e-f e- ISSUED TO: c 6v,- SUBDIVISION So r i n LOT # NEW REPAIR ❑ EXPANSIO,N ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: /yf c%rtd lk-'iLie- 2-9/,V 6 " Proposed Wastewater System eTy,~e: 4,L',q -C- > -Y-n tfe4us ev, Projected Daily flow: -Z ~ GPD , j Number of bedrooms: Number of Occupants: max Basement ❑Yes~~(~No Pump Required: l~Yes ❑ No ❑ Ma be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet Permit valid for: E'Five years Permit conditions: ❑ No expiration Authorized State Agent: IE f J Date: I Z / /2-0 / Q SEE ATTACHED SITE SKETCH The issuance of this permit by t ealth Department in no way guarantees the issuance of other 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: sef 4 13 kk- PROPERTY LOCATION: c--.,.'~r 46,p~-c SUBDIVISION 5 LOT # facility Type: c iFe vif e. ZNew ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** (Initial) Wastewater Flow: 4y(J GPD (See note below, if applicable I, /LC- u u<. (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size LOO 0 gallons Pump Tank Size /000 gallons Pump Requirements: ft. TDH vs. Exact length of each trench 00 feet Trenches shall be installed on contour at a Maximum Trench Depth of. -_.Z6 inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: 7 Feet on Center Soil Cover: inches (Maximum soil cover shall not exceed 36" above the trench bottom) inches below pipe Depth: inches above pipe _ inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: /understand the system type specifed is different from the type specified on the app/ication. / accept the specilcations 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 n thanaa in nwanhin of tha tira Thi< t.onstructton authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. StE ATTACHED SITE SKETCH Authorized State Agent: Date: A IAIJ,",® Construction Authorization Expiration Date: `/,Zly HTE# / C ``j Permit # y ( .3 10 Harnett County Department of Public Health Site Sketch /,j c a1° Department of Environment, Health and Natural Resources Sheet: Division of Environmental Health Property ID: On-Site Wastewater Section Lot SOIIJSITE EVALUATION Co : for ON-SITE WAS'TEWATE]j9ySTEi1~F Code: Owner. Applicant: Address: Date Evaluated: # /z ///"a Proposed Facility: Design Flow (.1949): Property Size: Locadon of Site: Property Recorded: Watet Suppt7: Q Publ)C ❑ Individual ❑ Well ❑ Spring ❑ Other Evaluation Melhod: Auger Haring ❑ Pit . Cut Type of Wastewater: © Sewage ❑ Industaal Process mixed P it O F SOIL MORPHOLOGY C13EA 1 .1940 .1941 L spa Haiz~ PROFU FACTORS E Posidad 11941 b 1941 .1941 soil Slope .1943 .1956 ff 9t, (1a) stud" Condatea wetned soil .190 Profmti S®pro Texture Nin is Cola J QV. C1w Ratr LT Haft. A dYLTAR 0- r" ~f~ tr 7 Gr_,~~ f` ` fl a L, C~ t v~,tff jS v~~vt V T J (i ' ,\I- C-- 4_j Pd~ tnitW Ropelr system or Factors (.1946k Avsiiabl® s QAj% Site ClauiBcadon (.1948Xa ap . stars ® c , , - >4 Evaluated By.,/?,, 8itf LT Others P1C.X+nt ea