HomeMy WebLinkAboutIPACHTE# %t A-3'—ES-5— Harnett County Department of Public Health 27880
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: J --tyy 1
ISSUED TO: '` SUBDIVISION c l-� LOT # . �
NEW V REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5
Proposed Wastewater System Type: 251o4 >>u
Projected Daily Flow: °?ice GPD
Number of bedrooms: — - Number of Occupants: max
Basement ❑Yes 2fo
Pump Required: ❑Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community ublic ❑ Well Distance from well feet Permit valid for. 9-five years
Permit conditions: ❑ No expiration
Authorized State Ag&it:. r! ----2 " Date: — J
`� SEE ATTACHED SITE SKETCH
The issuance of this permit by th —1,1Y h 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: /ya.
SUBDIVISION Zy LOT # 16
Facility Type: LAC' New El-,Expansion ❑ Repair
Basement? ❑ Yes & No Basement Fixtures? ❑ Yes No
Type of Wastewater System ** (Initial) Wastewater Flow: GPD
(See note below, if applicable ❑)
2% f t tr T is u n—,--, (Repair)
Installation Requirements /Conditions Number of trenches _ '
Septic Tank Size J 07ab gallons Exact length of each trench 106 feet Trench Spacing: feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over: - inches
Maximum Trench Depth of: 26 -`9 1 , 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
Conditions:
inches below pipe
Aggregate Depth: above pipe
f inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. 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 app lication. / accept the specifications of this 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 chance 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 conditinnc of thk nermir ur ATTArnrn CITIP CHFTrU
Authorized Sta ent: /t Date:
Construction Authorization Expiration Date:`- Z -
HTE# ---)3 5-5' Permit # 2: 7 2 d:,:1::51 6
Harnett Connty ]Department of Public Health
Site Sketch
PROPERTY LOCATON:,
ISSUED TO: SUBDIVISION
Authorized State A9K-
C;
LOT #
Date: li;-- 1Z I — I Lf
Al z, 6 P LJ,�`,14- '/ p " ji)4,
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: �'=-? 1 p: Z ' { 7
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: �blic❑ Individual ❑ Well
Evaluation Method: ❑ uger Boring ❑Pit ❑Cut
Type of Wastewater: ❑'Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
Description Initial Repair System Other Factors (.1946):
System Site Classification ( 1948):
Available Space(. 1945) Evaluated By:
System Type(s) 2— — Others Present:
Site LTAR
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 .1944
Sapro Restr
Class Hodz
.._ L7
u' G>
G
Description Initial Repair System Other Factors (.1946):
System Site Classification ( 1948):
Available Space(. 1945) Evaluated By:
System Type(s) 2— — Others Present:
Site LTAR