Loading...
IPACNTE# 17"5-qk/y Harnett County Department of Public Health 29772 Imorovement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: `;15L 3 OJaaHC Ccc, vf 2..1 t�C 1.&4 ISSUED TO:T W ro lgSi EXPANSION ❑ SUBDIVISION LOT # NEW R AIR ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 3n s X b7v t n curs\ H a,�. Proposed Wastewater System Type: C'r r, t/ Projected Daily Flow: In GPD Number of bedrooms: tiA� Number of Occupants: t—ser, max Basement ❑Yes DWO Pump Required: Dyes ❑ No III �ay bee r quired based on final location and elevations of facilities Type of Water Supply: ❑ Community Ld�Publlc ❑ Well Distance from well Srp feet Cf^ f eJ Permit valid for: Permit conditions: ears ❑ No expiration Authorized State Agent: �A Date: "2 /oG /C4r, 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 it 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 Rules .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 TO: 'C CSn t W -eAle m1 , PROPERTY LOCATION: 2 SC 3 0,4-16 cx,e. ZA. ( QC TSS) SUBDIVISION LOT # Facility Type: Avcaot �>.t f iC,U G P—New ❑ Expansion ❑ Repair Basement? ❑ Yes � Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" ci nu . 4-1 j - (Initial) Wastewater Flow: /Uo GPD (See note below, if applicable ❑) C-ee>ihV. C-arr..i-ai. S7s. (Repair) Installation Requirements/Conditions Number of trenches a Septic Tank Size It>p-L gallons Exact length of each trench 5 o feet Pump Tank Size gallons Trenches shall be installed on contour at a Pump Requirements: h. TDM vs. Conditions: Maximum Trench Depth of: /a inches (Trench bottoms shall be level to +/-1/4" in all directions) GPM Trench Spacing: 9 Feet on Center Soil Cover. G 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. E inches below pipe R inches above pipe V;2 inches total "If applicable: / understand the ryrtem type rpedled it different from the type specified on the application. l accept the rpedlcationc of thir pem7it. 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 Authonianon IS subject to compliance with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit ltt MIAMI) lilt bRtILH Authorized State Agent: _, = — - gig Date: ! "ei/C✓& Jzsq-x`+o 2 ✓ ,✓2 2 of Construction Authorization Expiration Date: I 7/Gr. HTE# 1 i _ 5 - 4 a(,ltl Permit # .9 C1 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: '26Ce 3 6�;L Grnve "2c� CSCE 153x, ISSUED TO: -ye-)o SUBDIVISION LOT # Authorized State Agent: Date: t :2 / UG Q s� 472Ge...3 GC✓.c..:2 � cam. 5e,�UC. S�siFM Shc�1 1�,y GAG: �Of\ KiF i\ i� t onV. rnlb lee_ €or asp dgxl 'M,y+i Sx, : nt Wle, 1a-) �eQk� �ns4-�uer C ow, 5 fax)e1 rv,,�5 1'r �nl,6JtecL I'J'j cs C'cx, i N 0,>5�e- I I I AT �A; 2 2yy�`I �i 9q� taoy�� 15; C:A ' I I mut S��C. CXT p.a.� CJI w aAK G. v� C- 14- 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: _VZ. n / W i, A ICIJ Address:yy o,IC4(v y L.h. rt)Date Evaluated: I;IIZl/ f Proposed 4N, 4: ♦'t/1 Hcoy Design Flow (.1949): 160 E,Pq Location of Site: Property Recorded: *Oj Water Supply: ublic❑ Individual ❑ Well Evaluation Method: ❑-A-tqge� Borin ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet Property ID: Lot #: File #: Code: Property Size: C, ; S.l A. ❑ Spring ❑ Other ❑ Mixed 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 Minenflogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Rest/ Horiz a,3 L 3 o -S ('c/�j -a� 4w o 4e7 PS N t_ s% C> -1a 64- ✓� to 3c' r3 jl�L Fqq 474f 01,05 6,35 Description Initial Repair System Other Factors (.1946): S stem Site Classification (.1948): Qr'e+v 6, IJ 5..•l...tF, Available S ace (.1945) Evaluated By:'+rf- System Type(s) - zcd Others Present: J Site LTAR 0, a e. 5 5