Loading...
IPACHTE# 0 - 5--gI, 56g Harnett County Department of Public Health 29556 Improvement Permit A building permit cannot be issued with only an Improvement Permit 1 PROPERTY LOCATION: Cc.aCe.UbsfA o\_C 7s2 INo3) ISSUED TO: �s 2 -nn': _4 j77M Cpt• SUBDIVISION LOT # NEW REPAIR ❑ _ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: s Lin 5 f: r> Y`x b3 l2 Proposed Wastewater System Type: ZDiv �1e d 4t: n 5 Projected Daily Flow: 3(,0 GPD Number of bedroo�s �� Number of Occupants: max Basement fid e ❑ No Pump Required: Dyes ❑ Noay be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public Q ell Distance from well 4 0 feet Permit conditions: Permit valid for. W ive years ❑ No expiration Authorized State Agent: Date: CSG 1 ZG / 7-0 L -1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health 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 H 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, .1951, .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 T0: eki r\ PROPERTY LOCATION: Cc)Vat in -tom n SUBDIVISION LOT # Facility Type: 3�2 5 Q> �62T s X 53;Z p-eW ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 2s i> rLe a , <A ri1 5, < Ae(Initial) Wastewater Flow: 36 U GPD (See note below, if applicable ❑) '�% ✓C C� �� u n S 77 !s (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 10c)p gallons Exact length of each trench loo feet Trench Spacing: 5 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: r z_ inches Maximum Trench Depth of-. Z Y inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: (t. TDM vs. GPM inches below pipe Aggregate Depth: 2 inches above pipe Conditions: 5,5/s're n .v 15 FE er~F In L 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: / undewand the grtem type .rpedfed it different from the type tpecihed on the app/ication. / accept the .rpecificationJ of this permit. Owner/Legal Representative Signature: Date: This contraction Authorization is subject to revocation if the sire plan, plat or the intended me 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 Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent:Date: zt�( Construction Authorization Expiration Date: 0& /z& /zcfzz HTE# " 5 —y1554 Permit # Zy55s; Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: it Z''slovrK 2,\ o C S 2 140S) ISSUED TO: De -00", iS jP.0(%,Qf C—LLec-) SUBDIVISION LOT # Authorized State Agent Date: 6C /2(s t o t'7 — _ 409' To GU�CES&i2V Qv tv 1N J �� 0 N Nig N O o� h N (� 11,-1 Ml� I 1 CLOPO!5t= 3Tirz- Css'><�s') W! a✓kSCME NT _ 393— ._- —y L Vi V 0 I 9 I 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: ncnn•5 X Jfa,n:i(c/ f 5/lc,v Address: Cu KeSb�,j tel - Date Evaluated: (X,1-&>11:* Proposed Facility: 2t� n 5 •^ Design Flow (.1949): 3(.o 6pQ Location of Site: ��%^� �� Property Recorded: Water Supply: ❑ Public❑ Individual deli Evaluation Method:❑ Auger Boring,(awl" ❑ Cut Type of Wastewater: ewage ❑ Industrial Process Sheet: Property ID: Lot #: File #. Code: Property Size: j S A C ❑ Spring ❑ Other ❑ Mixed 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.I Sapro Class .1944 Restr Horiz A 2C rtio, ACA 16 L01410- ✓�i v (o Z I 1 - ev )4 L 5% o- Zo G2 Sc PQ Zo-qz plc G q Z4 Z L Sil ©- tZr rL ed L �i SP ScyP P'5 2c 1q (,2 sL 3P4 Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Prov�Sic-�.�tt) ,$,.,:/iyte. Available Space (.1945) Evaluated By: Ac�gJ r, C,,� RENS (A @( 3orizn! System Type(s) , (ULZ 23 o Others Present: r J) Site LTAR