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HomeMy WebLinkAboutIPACHTE# O`t-S-3aa Harnett County Department of Public Health 2 5 3 4 3 Improvement Permit A building permit cannot be issued with only an Improvement P tt PROPERTY LOCATION: L ISSUED T0: cJ ~t P`~Cr+So~+ ~~~1-oCst-s l^zG. SUBDIVISION ~p+~-+vyc G¢ov~ LOT # NEW)K REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SID k t%"--,6 C' Proposed Wastewater System Type: w me %o Zi,S° o F~ WCK ow S s~ Projected Daily Flow: q% O GPD Number of bedrooms: L-4' Number of Occupants: max Basement ❑Yes A No Pump Required: Yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community Public ❑ Well Distance from well too feet Permit valid for. Five years Permit conditions: _ ❑ No expiration Authorized State Agent.: "D.& Date: '-136 ~p0~ SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuan 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 Improveme ermit 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:,aE,~soN ~V1LOU~ ~N~ PROPERTY LOCATION: Q-P SUBDIVISION LOT # t Facility Type: SSA New ❑ Expansion ❑ Repair Basement? ❑ Yes "1 No Basement Fixtures? ❑ Yes )K No Type of Wastewater System** Pu N,e ~o a,SY, 12r--0V0-,wN c3 f '%--NN (Initial) Wastewater Flow: GPD (See note below, if applicable Da-,e Lty, P.,,~<czGo.-Cc~~N'~ I (Repair) Installation Requirements/Conditions Number of trenches l Septic Tank Size 10oo gallons Exact length of each trench Boa feet Trench Spacing: Feet on Center Pump Tank Size took gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: 12. 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 ~\^w_ Aggregate Depth: inches above pipe Conditions: f`1iKtMVr.oF , OF inches total **If applicable: / understand the system type speciled is different from the type speciled on the app/icatioa / accept the rpeci1mmionr of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subf)j Fl-revo tioo d the st an, 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 ~u6{1to compliance the ns o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: Date: o1~ Constru n Authorization Expiration Date: 30 1 HTE# Permit # aM'i3 Harnett County Department of Public Health ~~ite Sketch PROPERTY LOCATON: L--P.S6P.Ne(L Q~D ISSUED TO: 6 v ~Lo SUBDIVISION ~ Awty-s Gaov ~ LOT # IO Authorized State Agent: ~-S ~o~ wE2 i oLYSflo~ Date: 13bt ~y ~ Pora,-tea \ do \ I rip,v e 2CPg~a, No \ 5l~ 0 2 v C ~s' ueparuuam ui etwuunnieirt, nerdiul, diw rvdiwdi neauUM" 131etl1• Division of Environmental Health Property ID: On-site Wastewater Section Lot # File SOMSITE EVALUATION Code: for ON-SITE WASTEWATER SliSTENI Owner: Applicant: Address: Proposed Facility: h~Es ~0A13 "'NC Design Flow (.1949):`Lfj0,K Location of Site: Water Supply: ~I Public (J individual [ ] Well Evaluation Method: Auger Boring (J Pit Type of Wastewater: Sewage [ J Industrial Process Date Evaluated: Property Size: Property Recorded: [ I Spring (J Other ( J Cut ( J Mixed P R O F SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS 1 L E flt .1440 Landscape Posf rV S % Horizon Depth IN. .1941 Stricture/ Texture .1941 Consistence Mineralogy .1942 , sail Wefnesef' Color .1943 Sol Depth IN.) 19m; Sapra Cis" .194 ' f Re*.. Hoft Profile , Class d LTAR ► LS ©~a~ G 5 ~f~ ti+S~saQ .53 ~t 6a ~5 Ne 7)3,n~p G ts~a~ G ~ ~}rte g5 be tcrkZ ~ Description Initial S stem Repair System Available Space (.1945) System Type(s) Pa.) 2 1q;ta I TAR Other Factors (.1946): - Site Classification (.1948): Evaluated By: Q \ Others Present: