Loading...
IPACHTE# 1�-s -I Harnett County Department of Public Health 30077 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: �u.\�risc�. 26c1cS �n fc{34� ISSUED TO: LAnwZiUlf— SUBDIVISION LOT NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 1- 1 T T - Lf 77 Proposed Wastewater System Type: v v, -A -i n S 5'. Projected Daily Flow: 15@ GPD Number of bedrooms: �N Number of Occupants: 1-3 max Ces,Tp)Uvrss, Basement ❑Yes Fk"o 1 O' Pump Required: []Yes ❑ NoMaf�� y �b Ired based on final location and elevations of facilities Type of Water Supply: ❑ Community GY Public ❑ Well Distance from well 4LA feet Permit valid for. Permit conditions: P�'Fiv y n ❑ No expiration Authorized State Agent: t:,4 / ,/,1�-� 1 Date: oa G I ;R 11 CJl0 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Deparunent in no way guarantees the issuance of other permit. 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 imtallation 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 TO: 'Ro"L. L �� Ar%rA '. 1-c PROPERTY LOCATION: tu'3a) 30 )( 1 1 / SUBDIVISION LOT # Facility Type: 1 3 6mlp-lcr>< o Crr &% A ®/New ❑ Expansion ❑ Repair Basement? ❑ Yes o Basement FixtUr"e"s? ❑ Yes ❑ No Type of Wastewater System** 26 l/" I „t t -r i�45 a - (Initial) Wastewater Flow: % `J� GPD (See note below, if applicable ❑) ` Z� (te-A t (Repair) Installation Requirements/conditions Number of trenc Septic Tank Size 1 oCX� gallons Exact length of each trench Co© feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: as inches (Trench bottoms shall be level to +/_I/4" in all directions) Pump Requirements: (t. TDH vs. GPM Conditions: Trench Spacing: C Feet on Center Soil Cover: /b inches (Maximum soil cover shall not exceed 36" above the trench bottom) - inches below pipe Aggregate Depth: inches above pipe ",A inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTI( SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / ondeataad the system type specified is different from the type specified on the app/icadon. / accept the rpecih'cationr o/ this permit. Owner/Legal Representative Signature: Date: This construction Authorization is subject m 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. Thu Construction Authorization is subject to compliance 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: —Z Date: U6121 1a0cf3 y4,w�w w pia �� Construction Authorization Expiration Date: c> 4,/;? 1 I a0a 3 HTE# I -6-44Z] 4Z] Permit # -s Cx3 1 -3 - Harnett County Department of Public Health Site Sketch z PROPERTY LO(ATON: ISSUED TO:-(olIjiX L:,J"t tanUnZia-1cn SUBDIVISION LOT # o Authorized State Agent: i�,�—�-� Date: X11 /incl I�"� 'DC7 Q�AI-th2D f kU, Fljw1E-CL- 5N1,l , r..xST s1,\R(t.ok-v1 Ot--> L NSA )' Obc�E1L u 5 Nat t_ 697- 10lPr M t N t aAvnti 5 E -r (3NCX- 2e�M kt�'( PA rz-t c� 5jzc�n c , b,p'Z> 3c' x y �' P FAn.,•t 4 �cU o'+r �1leE b -3 e -4- e 6d<�P— ' ,), oFCr�� (tee -k- on6;4y, ro� n5 11 CAC-Ve-- nezk)� Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheet: Property ID: Lot #: File #: Code: 2 A_ L1r,d Owner. Applicant: V\c-v1�1 Address: Q)H*\_&cIa&-LA34)DateEvaluated: 061aIIgot $ Proposed Facility: (ern G}\a-Design Flow (.1949): Isp ✓cE'f� Property Size: 39,51 fir, of Site: ' Property Recorded: Water Supply: Public[] Individual ❑ Well ❑ Spring ❑ Other Evaluation Method- E] Auger Borin Pit ❑ Cut Type of Wastewater: age ❑ Industrial Process ❑ Mixed P R O F 1 L E # .1940 Landscape Position/ Slope % Horizon Depth (1n.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Pmfi1e Class & LTAR ,1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz L I4 6a- L, ✓�Lmyani� m I dig vre- 1 jos l�- a✓i s n 3b C> . Pmxer� Description Initial Repair System Other Factors (.1946): I S stem Site Classification (.1948): p;,,-t5fpA(AIk- sJFr��2-- Available Space(. 1945) Evaluated By: ^ i System T e(s) v Others Present: 'Yor3re-z.-, Site LTAR �,_