HomeMy WebLinkAboutIPACHTE# Harnett County Department of Public Health
28984
Improvement Permit
A building permit cannot be issued with only an Improvement P
PROPERTY LOCATION-
OCATION
ISSUED
ISSUED TO- d G� i��� SUBDIVISION moi. P
/ LOT # -b
NEW REPAIR ❑ EXPANSION ❑ Site Impgvements required prior to Construction Authorization Issuance:
Type of Structure:
Proposed Wastewater System Type: ZS% AV&Ocr�
Projected Daily Flow: 80 GPD
Number of bedrooms: of Occupants: c/ max
Numibe
Basement ❑Yes No
Pump Required: ❑Yes ❑ No be required based on final location and elevations of facilities
Type of Water Supply: El Public ❑ Well Distance from well feet
Permit valid for. Five years
Permit conditions:
❑ No expiration
Authorized State ent: Date: r1 ZAf —JLe SEE ATTACHED SITE SKETCH
The Tswana of this permit b Health Deparunent inn 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 re is a site plan, plat or the intended use changes. The Improvement Permit shall not be affected by a lunge in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules ler S e for
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 into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout. /
ISSUED T0: / C PROPERTY LOCATIONVZ;P
,-- g�/I(i
/ SUBDIVISION /� LOT # 3U
Facility Type: c5 13 New Expansion ❑ Re air
Basement? ❑ Yes No Basement Fixtures? ❑Yes No
Type of Wastewater System** 0Sd,6 je109 67Z�sJ��,�,�G._ (Initial) Wastewater Flow: �� GPD
(See note below, if applicable ❑) /
7?i�2�wt%- (Repair)
Installation Requirements/Conditions Num er of trenches _ S
Septic Tank Size G�/ of gallons
Pump Tank Size 1-w,# gallons
Exact length of each trench 66 feet
Trenches shall be installed on contour at a
Maximum Trench Depth of 2-2— inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
Pump Requirements: k. TDM vs. GPM
Conditions:
Trench Spacing: Feet on Center
Soil Cover. 4� 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
*It applicable: / uadentand the grtem type speoled it diKeieat hom the type tpecile0 oa the app/iration. / accept the Wibtatiai r of this permit
Owner/Legal Representative Signature: Date:
This Construction Authorization a subject to initiation if the site plan, plat, or the intended use changes. The Construction Authorization shall not be trmslerred 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 S e A enc: Date: `v Z —!
Construction Authorization Expiration Date: 'ZY "2 /
HTE# 4-5' 396'0-7 Permit # 28S8 y
Harnett County Department of Public Health
Site Sketch
// II PROPERTY LOCATON Z 6es�� /l/J
ISSUED T0: l�tl/�nln� o�5fia�Ga�+�i�C SUBDIVISION LOT #,' i
Authorized State . —=-- Z A,J/� Date:
AIS
I
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: 2-rAddress: Date Evaluated: �'S
Proposed Facility: Design Flow (.1949): VW
Location of Site: Property Record
Water Supply: �c❑ Individurj� ❑ Well
Evaluation Method:❑ Auger Bo ' g 0 Pit ❑
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
✓ (o
Property Size:
❑ Spring ❑ Other
Cut
❑ Mixed
P
R
O
F
1
.1940
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
L
E
#
Landscape
Position
Slope%
Horizon
Depth
(In.)
.1941-
Structure)
Texture
1941
Consistence
Mineralo
.1942
Soil
Wetness/
Color
.1943
Soil
Depth IN.
.1956
Sapro
Class
.1944
Resn
Horiz
Profile
Class
& LTAR
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L�
ate/
s t✓
Zti�
st,
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3�
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Ti2��
air
b;jK.s �
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948):
Available S ace . ]945) Evaluated By:
System T s Others Present:
Site LTAR