HomeMy WebLinkAboutIPAC RHTE# (7(0-5 ~O-1 f 3V Harnett County Department of Public Health 2 5 3 5 8
Improvement Permit
A building permit cannot be issued with only an Im rovement Permit
PROPERTY LOCATION: f 11i ISSUED TO: P Y NA ~ C-g S SUBDIVISION CQ . h, l 0 , S LOT #
NEV REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: s x (o j _ Cz-
Proposed Wastewater System Type: rt~ 2 A,
Projected Daily Flow: (off GPD t
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required:3&s ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 5;e~: Public ❑ Well Distance from well 10-31 feet Permit valid for. Five years
Permit conditions: _t)1e' D n.S t (7't` F , li, ~t 0~!ON w~~H k ^ A i k fe bia!~ Jc 5 ❑ No expiration
Authorized State Agent:: 2 Date: 0 '-'3 - 2 -J ~ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Hea 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 Rules .1950, .1952, .1954, .1955, .1956, .1951, .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: PROPERTY LOCATION: I
c~ SUBDIVISION 001 JA l a LOT # S--
Facility Type: L/ D New ❑ Expansion El Repair
Basement? ❑ Yes p4aJo Basement Fixtures? ❑ Yes .9.6
Type of Wastewater System** t 2 rI j (Initial) Wastewater Flow: GPD
(See note below, if applicable CX_
Qlvrm -f. 7f:-/- LH,or,~- ici (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size _I gallons Exact length of each trench feet
Pump Tank Size (0 t?,-.? gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: _t_p~ inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover: inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
inches total
**If applicable: / understand the system type specified is different from the type specified on the app&3tion. / accept the .specifications of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization is suhiert to revnrarian if tha sits nlan nlnt nr tho im-&A - rh-- Tha fnncnurrinn Eurho:,~d o droll - ho fr,.,(.rr.A wh- There I. , A,.,... t., --..ht....r L. TG:.
tonstructton 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: L L ~4 I Date:
Construction Authorization Expiration Date: o 3-- 02- 20-1 q
HTE# 0G'iJD- l M'-f fZ- Permit # e;is-3 r
Harnett County Department of ll~tblic Health
Site Sketch
PROPERTY LO(ATON: ///6
ISSUED T0: S SUBDIVISION SID l . i, ( , / .-5 c LOT #
Authorized State Agent: Date:
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urvisron or tnvironmentai neann Property ID:
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: ~n1 Date Evaluated:
Proposed Facility: S F ,I Design Flow (.1949): 3L , Property Size:
Location of Site: l Property Recorded:
Water Supply: 1~rpLblic (j Individual (j Well [ j Spring (j Other
Evaluation Method: J~:Oruger Boring (j Pit [ ] Cut
Type of Wastewater: (Sewage [ j Industrial Process
( ]Mixed
P
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F
SOIL MORPHOLOGY
.1941
+ r
OTHER
PROFILE FACTORS
i
L
E
1.~7V
Landsca
Pa
Posltlort✓
Siope%
Hortwn
Doo
(IN.)
I
1941
Structuro7
Terdure
1941
Coosistenos
Mirera '
.1942 f r -
~9
Soy ~lf8 ' 1914 P9§kA 'yt
Wetnsasl t . ~ ~r SoN 7~ t $a per'.> .
Color IN.) - Claw liorii i LTAR
-A
1Z_
6,t
/t L
L
fr
tc
L
0
Description
Initial System
Repair System
available Space (.1945)
system Type(s)
site LTAR
t
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: /