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HomeMy WebLinkAboutIPACHTE #) ro' 5-313'1 Harnett County Department of Public Health 28642 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: 155 �xs G 1J0_ ISSUED T0: K� srit" aA Cu M MI" SUBDIVISION gn ie LOT # 5— NEWWV REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: SIZ— 17��r61=) Proposed Wastewater System Type: 1 M- Ulf" 10,-! 5y376e('% Projected Daily Flow: Co O© GPD Number of bedrooms: 5 Number of Occupants: I C7) ax Basement ❑Yes %150o Pump Required: ❑Yes XNo ❑ Ma be required based on final location and elevations of facilities Type of Water Supply: EJCommunity Public ❑ Well Distance from well i CC)' feet Permit valid for. 'Five years Permit conditions: ❑ No expiration Authorized State Agent: _�� CzE1 <S Date: t 7 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in pony guarantees the t pg; of other permits. The permit holder is re onsible for checking with appropriate governing bodies in meeting their requirements. This site is subject to revocation it 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, .1951, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references inro this permit and shall be met. Systems shall be installed in accordance with the attached system layout ISSUED T0: 65 PROPERTY LOCATION: 155 BQ.P-,l�c aJ SUBDIVISION r✓ G LOT # —5 Facility Type: 5C0 New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes Alin Type of Wastewater System" a S `o/, i p Uc„ T S y3 rG jti (Initial) Wastewater Flow: O C7 GPD (See note below, if applicable ❑) �j�� ois`t a VXIAl. Sys . (Repair) Installation Requirements/Conditions Number of trenches1.1,_ Septic Tank Size %Zi_ O gallons Exact length of each trench 1(:>0 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: G inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: h. TUN vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover. le, inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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. inches below pipe inches above pipe inches total ."If applicable: / undentand the system type specified it different from the type speabed on the application. / 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 trot be transferred when there is a change in ownership of the site. This Construction Authorization it subject to mm ah the " ns of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH F orized State Agent P.G Date: Con tUion Authorization Expiration Date: I jx-� a) HTE# I(, -513—n3 'I ISSUED TO: Authorized ! Permit # M LH 1 Harnett County Department of Public Health Site Sketch onnoran inrernu• 1.55 i�aAE 00 C2.0's LOT # 8Q;�,e ii,Z Date: I I -a, -)l 16 5sS" Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIUSITE EVALUATION for ON-SITE WASTEWATER SYSTEM Owner: Applicant: Address: Date Evaluated: Proposed Facility: 3 Q_CQrLpO r,� Design Flow (.1949): (-O 0 C e c Location of Site: Property Recorded: �1 Water Supply: Public[] Individual ❑ Well Evaluation Metho4kAug Bo ing ❑ Pit ❑ Cut Type of Wastewater: "Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F 1 L E # .1940 Landscape Position/ Slope% Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Minentlogy .1942 Soil Wetness/ Color .1943 Soil Depth IN. .1956 Sapro Class .1944 Restr Horiz 1 C) D- G5 2�lvQ 5.� G Description Initial Repair System Other Factors (.1946): SystemSystemf Site Classification (.1948):5 Available Space(. 1945) Evaluated By: 01� System Type(s) Others Present: — Site LTAR :Lx�(JO G 9S -"t