HomeMy WebLinkAboutIPACHTE# I7- Harnett County Department of Public Health 29721
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
ISSUED T0:
�1pM� Q�VEtO� PROPERTY LOCATION: RvNGN'RocM
r21j SUBDIVISION LOT # N A
NEW, REPAIR ❑ _ EAPA ION ❑
Type of Structure: t'� P (.3� ^% 0
%0 _
Proposed Wastewater System Type: Co rYb rt. V N t>,L—
Projected Daily Flow: `3 C-� GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: []Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community A Public ❑ Well Distance from well feet
Permit conditions:
Authorized State Agent:\'�
The issuance of this permit by she Neald� Department in no way guaran a untt
site is subject to revocation if she site plan, plat or she intended use changes. The Impri
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date:
Permit valid for:
AFive years
❑ No expiration
SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
Construction Authorization
(Required for Building Permit)
The commuction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .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: "rJOtn). Orcy LLWS PROPERTY LOCATION: R au6N `nZx("c-QD
SUBDIVISION LOT # L►P%
Facility Type: Mag 13:�xVD X New ❑ Expansion ❑ Repair
Basement? ❑ Yes ", No Basement Fixtures? ❑ Yes No
Type of Wastewater System** Co,ar6na-,x err At, (Initial) Wastewater Flow: 3 C) GPD
(See note below, if applicable ❑)
�a.rYC�rf� or.r fa L. (Repair)
Installation Requirements/Conditions Number of trenches L
Septic Tank Size t c o o gallons Exact length of each trend feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. 6 -12 inches
Maximum Trench Depth of 1@ -3� _ 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: ft. TDM vs. GPM
Aggregate Depth:
Conditions:
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.
inches below pipe
inches above pipe
inches total
**If applicable: / underrtand the system type specified it different from the type specified on the app&atiom. / accept the Weifnatiom of thin 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 Than not be transferred when there is a change in ownership of the site. This
tonstrocmon Authonzanon rs na with the previsions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: '� C�>iS Date: 3' n
Cons n Authorization Expiration Date:
HTE# I7'5—`1
Permit # a iii )
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON: Ko
ISSUED TO: �'Y6 0 q.5 SUBDIVISION LOT # LiA,
Authorized State Agent �LIeL�LYStx+ Date: gIdv7
a�CIO '
ZP$,(av Qfj�, qD
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:" J17d •%
Proposed Facility: ? Design Flow (.1949):3L
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method:❑ Auger Boring __Pit ❑ Cut
Type of Wastewater: '`J�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
Stmcturej
Texture
.1941
Consistence
MineralogyColor
1942
Soil
Wetness/
.1943
Soil
Depth (IN.)
.1956.1944
Sapro
Class
Restr
Horiz
1
L-!5 5
Q
%65 "IQ
�3 a�
�gKsci
Cn �`✓INS
fS -
• .S
_5
Description
Initial RIM System
S ste
Other Factors (.1946): C
Site Classification (.1948):`n J
Available Space (.1945)
V
Evaluated By:("<
System Type(s)
r" r.
Others Present: Cs NJ
Site LTAR