Loading...
IPACHTE# )—I' 5-41 OR5 Harnett County Department of Public Health 29699 Improvement Permit A building permit cannot be issued with only an Improvement Permit _— I PROPERTY LOCATION: USI -11 11 a 4 ISSUED TO: e t4XTNaw PtyL43 SUBDIVISION `Se"octK,At- %Pr/s.02 LOT # LQ NO< REPAIR ❑jPANSION 11 Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S�fl�S` xI �� J Proposed Wastewater System Type: IYVTE a. Projected Daily Flow: kc GPD Number of bedrooms: S Number of Occupants: Sb max Basement []Yes XNo Pump Required: ❑Ye Type of Water Supply: Permit conditions: s ❑ No >< May be required based on final location and elevations of facilities ❑ Community Public ❑ Well Distance from well feet Permit valid for. Five years ❑ No expiration Authorised State Agent: �� Q(c`11S Date: S 1—T SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees theissua other permits. The permit holder is resp sible 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 sublets 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, .1957, .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:-�r+cSc�le+.+ Aya_02 PROPERTY LOCATION: US4]lsJ ,^', SUBDIVISION Za,4 ap.a --fik/ 2 LOT # t O Facility Type: ��' C 1�T� New ❑ Expansion ❑ Repair Basement? ❑ Yes A No Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** 2.50/. (Initial) Wastewater Flow: Q00 GPD (See note below, if applicable ❑) „ a'S/ o '-'1,Cfl �5 .-(Repair) Installation Requirements/Conditions Number of trenches S Septic Tank Size 1 aS'O gallons Exact length of eachtrend feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 30-11 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. 1nq - 6 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 SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. inches below pipe inches above pipe inches total **If applicable, / understand the system type spealed is different from the type specified on the app/iradon. / accept the rpeulrationr of this permit uwnentsgal representative mgnature: Date: This Construction Authors non is subject to rerocauon d she nm plan, plat or die intended use changer The Canstrucdon Autharitation dull not be transferred when there h a change in ownership of the site. This Construction Authomation ubjetl tom visions 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: 1 Con aij;tion Authorization Expiration Date: S '3 _ HTE# �1-S't'I�`1Y,5 Permit # ag o) Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: Us Ila] N ISSUED TO: JoraRCSAINN 1TyL-o(2- SUBDIVISIONJoaaSwQN 1A7�oQ LOT# 1a Authorized State A¢enr. Date: I Usva) t 2EPa�t" � Al' / NoU56 .( age np2 JE F 0 4r( GDEO �fL+OR 10 11V.�JS CaLw,llot�l 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: 1590e� Design Flow (.1949): C Location of Site: Property Recorded: Water Supply: Public[] Individual ❑ Well Evaluation Method Auger Boring ❑ Pit ❑ Cut Type of Wastewater: `zs® Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 .1940 SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS L E # Landscape Position/ Slope% Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy ,1942 Soil Wetness/ Color .1943.1956 Soil Depth IN. Sapro Class .1944 Restr Horiz Profile Class & LTAR avi c _5 i8 sgx u" sjl -3Z 45 •S Ci gvrL ' S - Sd 5 L Description Initial R air System Other Factors (.1946): Sys Site Classification (.1948)f 5 Available Space (.1945) q Evaluated By: System Type(s) W&P Others Present: Site LTAR _/