HomeMy WebLinkAboutIPACHTE# 13 -5 365-3 Harnett County Department of Public Health
Improvement Permit 27243
A building permit cannot be issued with only an Improvement Permit -
y, PROPERTY LOCATION:„ =i P-b
ISSUED TO•-TG D'"�- �. SUBDIVISION (f LOT #
NEW [Z' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5
Proposed Wastewater System Type: ZJ`t1iZ t Projected Daily Daily Flow: GPD c
Number of bedrooms: Number of Occupants: C max
Basement ❑Yes CT'No
Pump Required: ❑Yes ❑ No L'1_M,a,)-be required based on final location and elevations of facilities �%
Type of Water Supply: ❑ Community Z Public ❑ Well Distance from well feet Permit valid for F Five years
Permit conditions: ❑ No expiration
Authorized State Agen . _ �t7`r%ti,i>>- Date: 7--
` 7 '° 1 3 SEE ATTACHED SITE SKETCH
The issuance of this permit by 'e ealth 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 t e 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: J Z C . PROPERTY LOCATION: 3
�/ SUBDIVISION � s • f: LOT #
Facility Type: I' New ❑ Expansion ❑ Repair
Basement? ❑ Yes [�T' No Basement Fixtures? ❑ Yes 21o,
Type of Wastewater System ** Z5-9'a ter' L ,`, (Initial) Wastewater Flow: q 86 GPD
(See note below, if applicable ❑)
z .. �,,,_ (Repair)
Installation Requirements /Conditions Numb r of trenches
Septic Tank Size gallons Exact length of each trenc t 1 �rz. N. feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of: 2 V 7/ B 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 _ l inches below pipe
Aggregate Depth: L inches above pipe
Conditions: /'� f 0-0 0—/+7 J 'Z inches total
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.
* *If applicable: / understand the system type specified is different from the type specified on the application. / accept the specifications ofthis 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 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 Age • Date: •2 -7 '?
61 Construction Authorization Expiration Date: -Z- --- t '�
H T E # 13 3 o5- 03 Permit # Z% Z Lf 3
arliett County Department of Public Health
i to Sketch
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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: .s
Address: Date Evaluated: —7 3
Proposed Facility: j Design Flow(. 1949): Lego
Location of Site: Q,07aCt:._ Property Recorded:
Water Supply: j ublic❑ Individual ❑ Well
Evaluation Method: [Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: [,,,Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
R
O
F SOIL MORPHOLOGY
I .1940 .1941
L Landscape Horizon
E Position/ Depth .1941 .1941
# Slope % (In.) Structure/ Consistence
Texture Mineralogy
OTHER
PROFILE FACTORS
.1942
Soil .1943 .1956 .1944 Profile
Wetness/ Soil Sapro Restr Class
Color Depth (IN.) Class Horiz & LTAR
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:y
Others Present:
Available Space (.1945)
1
System T e(s)
Z 'z
Site LTAR
k 513—
a % 5 —
F
1, 61r Alane
�5
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:y
Others Present:
Available Space (.1945)
1
System T e(s)
Z 'z
Site LTAR
k 513—
a % 5 —