Loading...
IPACHTE# 17 5414'13 Harnett County Department of Public Health 29661 Improvement Permit A building permit cannot be issued with only an Improvement Permit 1 _(]�(����/a� / PROPERTY LOCATION: Oa_p OS°) I ISSUED TO: fl4�X.�A �—I'vNp T'xrL.l„aLiw��SUBDIVISION rviQM,E g6t,z_ R,v�6E. LOT# ” NEW REPAIR ❑ EX 3,JSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SctC � � J Proposed Wastewater , System, Type:d.S��a VACry �,g N -ysc�m Projected Daily Flow. � GPD Number of bedrooms: Lai Number of Occupants: max Basement Dyes 'FR No Pump Required: Dyes ^ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Xpublic ❑ Well Distance from well feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent: Date: X1301 1 7 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the iuuan other permies. The permit holder s resp Bible 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 [or Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1958, .1952, .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 TO: Qk'MNGQS UC PROPERTY LOCATION: ©a-4 UST SUBDIVISION LOT# Facility Type: ��fl LSO " �� New ❑ Expansion ❑ Repair Basement? ❑ Yes 'X No Basement Fixtures? ❑ Yes No Type of Wastewater System** aS`yo qCOU GT y 0 N SYSSL'fN (Initial) Wastewater Flow: 4qd GPD (See note below, if applicable ❑) o:�`H' ° "PlIso- Sys. (Repair) Installation Requirements/Conditions Number of trenches `d Septic Tank Size I Ci00 gallons Exact length of each trench s OC) feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: V%-2<� inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: 9 Feet on Center Soil Cover. ( inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe inches above pipe inches total **If applicable: t ondeiftand the r}rtem type tpedled it different fom the rype specified on the application. l anent the JperifIrationf o/ 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 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: struction Authorization Expiration Date: HTE #A -7-'g-- Ll1413 Permit# Z`)44 Harnett County Department of Public Health Site Sketch ISSUED TO: o5(a L_t q p PROPERTY LO[ATON: ©..n Yt>.e tG2S SUBDIVISION SAM E OExj-\ $r_ii- Qior i- LOT # Authorized State Agent �s LiJE2`foLY`�'URi Date: �130�T't T a.3; G�,o vsLrx) Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOWSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: App1 Address: Date Evaluated: �-) )7 Proposed FacpityL,1/�17Q.L'� Design Flow (.1949): Q Location of Site: Property Recorded: Water Supply: '�QPublico Individual ❑ Well Evaluation Method:Q Auger Boring ❑ Pit ❑ Cut Type of Wastewater: -g Sewage ❑ Industrial Process Sheet: Property ID: Lot k: File tl: Code: Properly Size: ❑ Spring ❑ Mixed ❑ Other P R O F i E a I.And Position/ SAY^ C) -Z Dq)tb Un.) (in.) SOIL MORPHOLOGY .1941 .1941 .1941 Shucturel Consisleoce Texture Mm tip .1941 Soil Wetness/ Color OTH ER PROFILE FACTORS .1943 .1956 Soil Sapro th Class .]944 PmSk Rear.19" Class Hmiz d: LTAR K k ti;�nP L N4' P . Description Initial Repair System Other Factors (.1946): Sinn Site Classification (.1948): S Available S e .1945 Evaluated By: S sxn T s Others Present: Site LIAR �. � a,, 60