HomeMy WebLinkAboutIPACHTE # Harnett County Department of Public Health
Improvement Permit 27657
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: CJiv
ISSUED TO: C— SUBDIVISION LOT # !�-,G
NE REPAIR ❑ EXPAtI,11ON ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: T2 X52 5-D
Proposed Wastewater System Type:
Projected Daily Flow: S-C' ® GPD
Number of bedrooms: 2� Number of Occupants: max
Basement ❑Yes >< No
Pump Required: ❑YesNo ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ,,Public ❑ Well Distance from well l� feet Permit valid for: Five years
Permit conditions: _ ti ❑ No expiration
Authorized State Agent:: �'�.� ��V \��� V��� Date: "8 1 x.l13 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance tier permits. The permit holller is resAn ble 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 it 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: CPP'O 5- TQJyC,� 10 34 G PROPERTY LOCATION:
0w '-� -�—1
Facility Type: �����
SUBDIVISION S1 )00L -Po�6
New ❑ Expansion ❑ Repair
c)i -L LOT #
Basement? ❑ Yes ZNo Basement
Fixtures? ❑ Yes
Type of Wastewater System ** 9-49� °/c,
C3u c-"� t tf sv Y :5 n
(Initial) Wastewater Flow: Q-) GPD
(See note below, if applicable ❑)
C1
QUC;—�k y JyD; !�—n
gA (Repair)
Installation Requirements /Conditions
Number of trenches a-
Septic Tank Size V e2)1200 gallons
_
Exact length of each trench
feet
Trench Spacing: Feet on Center
Pump Tank Size gallons
Trenches shall be installed on contour at a
Soil Cover: Z -1 % inches
Maximum Trench Depth of: R- '6'�)
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: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: l understand the system type specified is different from the type specified on the application l accept the specifications of this permit.
Owner /Legal Representative Signature: Date:
this Lonstruction Authorization is subfZt'to-�rav cation if the si n, plat, or the intended use changes. the Lonstruction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subjQ't�compliance ' h tq �i'ayoQ Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent: Date:
Constr Authorization Expiration Date:
HTE# 31 )IA� Permit # Qi`:-1 C 5
Marnett County Department of Public He(,tltli
Site Sketch
WE
I
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:
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: 3 '3 00" Design Flow (.1949): 3k 4 Je � Property Size:
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well ❑ Spring
Evaluation Method Auger ormg ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑Industrial Process ❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
C) 2`10
0_4L
�5
d��U�
b S �.-
Y \n NS� ^
� •mil
Description
Initial
SysterrV
Repair System
Other Factors ( 1946):
Site Classification ( 1948): 5
Evaluated By:
Others Present:
Available Space(. 1945)
System Type(s)
®!
R,
Site LTAR
8