Loading...
IPACHTE# JQ-S-D9411 Harnett County Department of Public Health Improvement Permit 26481 A building permit cannot be issued with only an Improvement Permit \f PROPERTY LOCATION: VAN A LN ISSUED T0: V N C-E-. E t.'i.PR.flO SUBDIVISION gpKL N"s LU-1 ` LOT # '~I,5 NEWX REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: M F~.J . N-40 rN(-: \„X% Proposed Wastewater System Type: Qure 'Co REOUg'S~oN Projected Daily Flow: 3 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes No Pump Required: RPs El No Type of Water Supply: ❑ Community Permit conditions: Sy'r'f-^ ❑ May be required based on final location and elevations of facilities X Public ❑ Well Distance from well VC50 feet Permit valid for: X Five years 1441- ❑ No expiration Authorized State Agent:: Date: 31 k.~` SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the ' ce of other permits. The permit holder is resp nsible 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 Imp ement 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: CGAL.LS~CL(JO PROPERTY LOCATION: ~~NA Lt,3 \ 1 SUBDIVISION y- ,-L5 LOT # Facility Type: lNa \A0 ME. Q~"'A 14New ❑ Expansion ❑ Repair Basement? ❑ Yes "K No Basement Fixtures? ❑ Yes XNo Type of Wastewater System** 9u tng i o `a-5 °/c 9.f-~ovcr~\ o t► 5y 5 , LON (Initial) Wastewater Flow: 3(-0 GPD (See note below, if applicable PJ,Y,e-T6 '~l--5`'Lo 'S~srt:'(\(Repair) Installation Requirements/Conditions Number of trenches % q Septic Tank Size t co o a gallons Exact length of each trench feet Trench Spacing: I Feet on Center Pump Tank Size 1-000 gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 1% 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: ft. TDH vs. GPM inches below pipe Aggregate Depth: inches above pipe Conditions: =s~s.~~ ~~~Ea Q Q6zogoyQ,a, ~adn, L~~, inches total 5tk NoTEs ©N 'S I- ~Xi SC~1 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: / understand the system type specified is different from the type specified on the app/ication. / accept the specifications of this permit. 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 Authorization is subjectttt m liance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Q,GtiS Date: 3 t 1 onstruction Authorization Expiration Date: o ~k HTE# Permit # ak q'8 N Harnett County Department of ablic Health Site Sketch ISSUED TO: Authorized State Agent: 1) s G O o r p, i-v tw ~-,as £ Le 17 TAN U. S )eY-,o p~ J, P }-1 o N ~czrF.rai`- V~ 4V U rio 110 u~E G ADZ. c~CL oo PROPERTY LOCATON: Dp„NN Y-N - SUBDIVISION 1Z ,I~cZ YN ~Ltv- LOT # bate: 3 10A 1 Q (L Q0,4 ) NJ Q. N7 S 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: 3 )q b1 Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: Public❑ Individual ❑ Well Evaluation Method Aug Boring ❑ Pit ❑ Cut Type of Wastewater: Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: 160'5A O.+ (%0P0SAL_ Wqwsn L.5.> awn Evr~i.uc~~a>~ ~GsrG Property Size: ❑ Spring ❑ Other ❑ Mixed P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR t $-101-t ~~1~) `~cL NSPn(Q 5--- J( 53~. ~c~ ~rl. ~s1 K{a e5' Z,a ;R v "~)PqP p Description Initial S ste Re air System Other Factors (.1946): Site Classification (.1948): c Available S ace (.1945) , Evaluated By: System T e(s) ds U r►P a ® Others Present: Site LTAR . 'Z5-