Loading...
IPAC RHTE# ! .T - 5- u i 3CZ Harnett County Department of Public Health 29204 Imarovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: tS�.nTtko /1cs• (OLA S4 .,c Q.A. 5/1_ (aG'i) ISSUED T0: bcatC l d vc SUBDIVISION 2 S I C. r� s -h LOT # 5 NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 0ei2 v/ a IC46 r SFp Proposed Wastewater System Type: Zs %o ntZ x.E on 5a s Projected Daily Flow: q 450 GPD Number of bedrooms: `/ Number of Occupants: max Basement ❑Yes I7 o Pump Required: ❑Yes Type of Water Supply: Permit conditions: ❑ No 2-111a�yke required based on final location and elevations of facilities ❑ Community Gg-� rublic ❑ Well Distance from well feet Permit valid for. 1ve years ❑ No expiration Authorized State Agent:: �f �- r� �i <5 Date: 0 4SI!(n zo I -4 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 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 Butes .1950, .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 T0: PROPERTY LOCATION: IS Kin,s S1a,/,,,, /U fcw 6 x(U 5L 17G5 SUBDIVISION liver C- r - LOT # 5 Facility Type: f`dnt 0'x6e' 5 Fr- l�w ❑ Expansion ❑ Repair Basement? ❑ Yes o Basement fixtures? ❑ Yes ❑ No Type of Wastewater System** Z5/0 ae-A':ic--Cnn 5ysara..•�- (Initial) Wastewater Flow: yP>r— GPD (See note below, if applicable ❑) A+ Gr �a 25 iv tledv�f. 5 >s . (Repair) Installation Requirements/Conditions Number of trenches/ Septic Tank Size t 2-00 gallons Exact length of each trench -4S feet Trench Spacing: `� Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: /G inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +1-1/4" 36" above the trench bottom) in all directions) Pump Requirements: (t. TDM vs. GPM 6 inches below pipe Aggregate Depth: 2 inches above pipe Conditions: iJc�: IQ a a n 5,-& Ske�Gh 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: l understand the system type specified is different from the type speciled on the application. / accept the spedficati= of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization it 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 in the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: i _ ZZ { r Date: o 81/16/7c1 Construction Authorization Expiration Date: pelf, /Za of 4 HTE# I a ' s A I'a 5-32 Permit # a 9 a0 -- Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 15 Pomo AaL on AZA . Loki � t 7,G0ISSUED T0: �ctirren S wttkkP SUBDIVISION 2+�er G,nr,-CLOT # S Authorized State Agent; ��� � Date: 0 0 I 1 G 1 Lo t-"1 �I jol SCIQACK I. Zsj n.rcav�x�o✓ Mil ZS%v n-.cn..rxv /kPe.i2 d`<ll�h S _. Sor _ 5=t.>A(K r•Ut _ sE-, Baca Soy � 94L.K P2oW5^et. Yaq G"KGr, I 5r w� AI, PUMP S-CA��UeJ �� C- 3' 1-nsjuUer on6, k - Prior }y Tns-Wx Rfjp1;c,,1otG Propr+j Tons SWAM ',%I;C uI✓jle P� Lie." S,,\1 A 50"z Pond ScA"V- SNS.,,\\ Ix u he, reZvired ; n ;nSk.>\cai�on pond Q. Pond SLEIoaC w 5%�e plan �v.d Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM TJ"�Jr/t rer W- 7k!EJ Owner: G Applicant: Address: j'[_t �(/Ct'(�T L��.r- JC Date Evaluated: 041 61� Proposed Facility:It fir, Design Flow (.1949): rl�o ('P4 Location of Site: y 5' % Property Recorded: r4l Water Supply: ublic❑ Individual ❑ Well Evaluation Method: Auger B ❑ Pit ❑ Cut Type of Wast at El Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: 6 -0& A -C_ ❑ Spring ❑ Other ❑ Mixed P R O F 1 L E 4 .1940 Landscape Position/ Slope% Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class &LTAR .1941 Structure/ Texture .1941 Consistence Minemlogy .1942 Soil Wetness/ Color .1943.1956 Soil Depth (IN . I Sapro Class .1944 Restr Horiz 8-Z� 6G eL�v �/ 5 n P SYIG`i2 @ Z'0 a z Vq� 84 "ct rix 5 P SirL�lt cioIl a G. ZV-32 3�c r=2 S P5- Qw-a„l, — `l L 3% ° -78 G4 L_ 6 Vrf tvi f s ©-Z�1 C L-5 of/vP 1+30 Sg�c xL �((1,sS/y trva-n�`ZS, PS % 0-11 L C r.5 vFn 1451,4 6 3 t- 37 Description Initial . Repair System Other Factors (.1946): S st Site Classification(. 1948): Available Space (.1945) Evaluated By: t� \ System Te(s) Others Present: W'� c -`'inn Site LTAR G. 01r -el-rawS do-r/ys'