HomeMy WebLinkAboutIPACHTE# a0 Harnett County Department of Public Health 29430
Improvement Permit
A building permit cannot be issued with only an I rovement Pe
PROPERTY LOCATION: 4 V62.
ISSUED TO: � "�T�Jr � v1C�\ r1 6 I SvG SUBDIVISION � ,%660 A01 vTC LOT # S72I-
NEW)< REPAIR^❑ �E3CPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: iCs9 3 i 1JJ
Proposed Wastewater System Type: Du M4''�a
Projected Daily Flow: COO GPD
Number of bedrooms: _F Number of Occupants: �� max
Basement []YesXPo
Pump Required., '*es ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well feet Permit valid for. �W'Five years
Permit conditions:
` ❑ No expiration
Authorized State Agent:: " `,' � �r'17 Date: —, 17 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirement. This
site is subject in 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, .1951, .1954, .1955, .1956, .1957, .1956. and -.1959 are incorporated by references into this permit and shall be met. Systems shall be installed in xwrdanct
with the attached system layout. pp
ISSUED T0:yAS GS Dy l L O 1.� 0 �N L PROPERTY LOCATION: JV N 0
DL—SUBDIVISION I a 6 G �7 P ca�
^E LOT # 71
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes 19, No Basement tures? ❑ Yes No
Type of Wastewater System** P� n P e d S /• -0 VCK 10 a(initial) Wastewater Flow: GPD
(See note below, if applicable ❑) J
Q Q n r) "ya 26� , ) t> (Repair)
Installation Requirements/Conditions Number of trenches If
Septic Tank Size gallons Exact length of each trench 2O feet Trench Spacing: Feet on Center
Pump Tank Size 1 O gallons Trenches shall be installed on contour at a Soil Cover: J—SJ inches
Maximum Trench Depth of. \1 inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/.I/4" 36" above the trench bottom)
in all directions)
Pump Requirements: h. TDH vs. GPM inches below pipe
Aggregate Depth: inches above pipe
Conditions: inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFi. 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 rtzecifled is different from the type spetifed on the app/iradoa / accept the rperibratianr of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is s vocation 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�t`a compliance isions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent:
Authorization
Date: k2c LD
HTE# ti—) Permit# 0
Harnett County Department of Public Health
Site Sketch
PROPERTY LO(ATON: Q)Q-
ISSUED TO:� z(S Ul vhvb� J C // SUBDIVISION tNC61J of j7 LOT # 11-4--
Authorized State Agent: SOL v 7CT-K Date: 3lY-)
Qa
3 JAI• pQ,w6
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:
Address: Date Evaluated:
Proposed Facility: Cj QJ 94,m Design Flow (.1949): SQ
Location of Site: Property Recorded:
Water Supply: "public❑ Individual F] Well
Evaluation Method• Au r Bo 'ng ❑pit El cut
Type of Wastewater: jSewage ❑ 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
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.1944
Restr
Horiz
a
-Lit,
Description InitialRep ' System Other Factors (.1946):
S ste Site Classification (.194g):j
AvailableS ce(.1945) Evaluated By: �
System T e(s) Others Present:
Site LTAR