Loading...
IPACHTE# Harnett County Department of Public Health 29666 Improvement Permit A building permit cannot be issued with only an Improve4 Nment Permit PROPERTY LOCATION: WCiraG2t�LC��p bC — i)Oc*1Cs NG ISSUED TO: ��SUBDIVISION ©A CcalQ aJ LOT # I1 C1 NEW -A REPAIR ❑E)E NSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S ia" V � »- r L 1�' Proposed Wastewater System System T� —\ Q � o �% �•ter/f> . Projected Daily Flow: 3: V GPD Number of bedrooms: Number of Occupants: rc;, max Basement []Yes X No Pump Required;yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community 'K Public ❑ Well Distance from well 1'0O feet Permit valid for. Five years Permit conditions: ❑ No expiration Authorized State Agent: Date: 301)) SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuanceBother 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 squired for Building Permit) The construction and installation requirements of Rules .1950, .1951, .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 T0: �n c_)�GC ,Avtr6S sv G PROPERTY LOCATION:�iCAi146"0W Jo DQ, SUBDIVISION C�IbNV-MO N7 LOT # YC — Facility Type: `�� C�1iE ��� New ❑ Expansion ❑ Repair Basement? ❑ Yes � No Basement Fixtures? ❑ Yes �RNo Type of Wastewater System** ?v 1 —a a3yu Nl uC1T1 0 A S -Y:5(Initial) Wastewater Flow: 3�GPD (See note below, if applicable ❑) 9V lis asYta pt3J - (Repair) Installation Requirements/Conditions Number of trenches It Septic Tank Size I o© o gallons Exact length of each trench tom➢ feet Trench Spacing: `� Feet on Center Pump Tank Size 00 0 gallons Trenches shall be installed on contour at a Soil Cover. C inches Maximum Trench Depth of: X1 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: h. TUN vs. GPM inches below pipe n o Aggregate Depth: inches above pipe Conditions: P, -n,,^ s TS({� C),.;in oe �s� f Su Bcn sT(S> Oy �ap L,1 cP 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, / understand the ryrtem type rpeciled it different from the type rpedled on the app/icadon. / aaept the rpecibcadons of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization u 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 usubject to corn liana with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the ronditiom of this permit SEE ATTACHED SITE SKETCH Authorized State Agent Date: 613011-7 {o struction Authorization Expiration Date: & 130 13a HTE # 1-7 'S Li 1930 Permit # a �66b Harnett County Department of Public Health Site Sketch v - PROPERTY LOCATON: NGPtaF2r1GG O 02\-1G ISSUED T0: 4.1--c C' L� 1N c SUBDIVISION nt>P 04—) LOT # T'A Authorized State Agent: }Q�yS �pLi�fs� 1 OLy3otl((y� Date: 613 0I I7 E -3 4- ME I�'���i-ro oP DcLwL' 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: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: ❑Public❑ Individual ❑ Well Evaluation Method:[] Auger Boring ❑ 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 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Site LTAR s= a a4 C 1-5 -135 s f1 tin e 3g c� C' 3 0 6 LS wi u w 3O -Lyn y t sc' I- 3 o -ac �s Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Available Space (.1945) Evaluated By: System Type(s) Others Present: Site LTAR