HomeMy WebLinkAboutIPACHTE# ) -) - 5- K li:� Harnett County Department of Public Health 29685
Improvement Permit
A building permit cannot be issued with only an �Improvement Peamit p
PROPERTY LOCATION: k err %6L cpY'5-S ARS
ISSUED T0: k*2L G�0 NP a 0 0.. SUBDIVISION LOT #
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: C1017-3 • S< -!C>
Proposed Wastewater System Type: a.5"J a Rho acv S
Projected Daily Flow: 1; 6 C) GPD
Number of bedrooms: 3 Number of Occupants: i. max
Basement ❑Yes 'RNo
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes -*IKNo El May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ,es.L Public ❑ Well Distance from well t dQ feet
Permit conditions:
Authorized State Agent::r
The issuance of this permit by the Heeparnent alth Din capway guarantees 'he i
site is subject to revocation if the site plan, plat or the intended use changes. The Impn
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date:
Permit valid for.
Five years
❑ No expiration
SEE ATTACHED SITE SKETCH
other permits. The permit holdei is resplinsible'lor checking with appropriate governing bodies in meeting their requirements. This
went Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
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: C;Qw, me-00ywt-c SQ„ PROPERTY LOCATION: g&'SIAC .. �>RisSS aD
SUBDIVISION LOT #
Facility Type: I:xS r SFD X New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basebrlent Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ac V. RGau epo 0 N S I5 s e-, (Initial) Wastewater Flow: 3f-0 GPD
(See note below, if applicable ❑)
r15`rl , QCOuer a 1w S7'7 (Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size too o gallons Exact length of each trench LOC] feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: S`4 -36 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: N. TDH vs. GPM
Conditions:
Trench Spacing: i Feet on Center
Soil Cover. (Z 1 inches
(Maximum soil cover shall not exceed
36' above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
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.
**If applicable, / ondennod the ryrtem type ipeafled is diNerw from the type rpeciped on the app/icatiom / accept the Jpecilcationr of this permit
is subject or revocation
Construction Authorization is
Authorized State Agent:
intended use changes. The Lonstrn
and Rules for Sewage Treatment and
Construction'
Date:
not be transferred when there is a
and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: -) W )`T
Expiration Date: QJY 1a
HTE# 1-7' 5-'1 )��S
ISSUED TO:
Authorized State Agent:
Permit # an b
Harnett County Department of Viblic Health
Site Sketch
PROPERTY LOCATON: g t niA LLBPOTtS i R
In CDo vas 0�2 SUBDIVISION l LOT #
.464, 1 oLrs �Glf� Date: -7 I aQlT7
i
QE-su62— &°Puss ¢.0
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: 3 �'nM Design Flow (.1949):'360,,ea
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Metho� Aug Boring ❑ Pit ❑ Cut
Type of Wastewater. ClAewage ❑ 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
s5
C 5e
1
VVn �Fjll
-2—
SS
Description
Description IRepair System Other Factors (.1946): Q
Site Classification (.1948):Available S ace (.1945) Evaluated By:
System T e(s) U Others Present:
Site LTAR