HomeMy WebLinkAboutIPACNTE# 1-5-�%a5�1 Harnett County Department of Public Health 29783
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
1 t PROPERTY LOCATION: 6L�('iv n s mr t2� % 5/t.
ISSUED TO: f.4 o Cl �i SUBDIVISION it 7e n flAt earl v LOT # 3
NEW EPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -J/Z $o a )! op 1 5 �
Proposed Wastewater System Type: _a$k,
Projected Daily Flow: 41;Z5 GPD
Number of bedrooms:V Number of Occupants: max
Basement []Yes/'
Pump Required: ❑Yes El No Q'May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community lac ❑ Well Distance from well feet Permit valid for.
Permit conditions:
9 -five Y-Rars
❑ No expiration
Authorized State Agent: Date: t a I AI I a SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health 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 pian, plat or the intended use changes. The Improvement Permit shall not be affected by a change in owmnhip of the site. This permit is subject to compliance with the provinces of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
squired 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 T0: !1ca ^An 1 i0��� PROPERTY LOCATION: rtiy (L'yes- i CGraiM8
u SUBDIVISION [Sr w LOT #
Facility Type: 4192 lEr)`-K ,Atl 51zitz> 11�-16w ❑ Expansion ❑ epair
Basement? ❑ Yes EA--No� Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** ---.9- :gl c (Initial) Wastewater Flow: 4�2112o GPD
(See note below, if applicable ❑) �1
0l5'79 Repair)
Installation Requirements/Conditions Number of trenches 3
Septic Tank Size� gallons Exact length of each trench L c50 feet Trench Spacing: c/ Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: /2 inches
Maximum Trench Depth of: �),e L 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: h. TON vs. GPM
Conditions:
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.
'iA inches below pipe
�-k inches above pipe
NAC— inches total
[Owner/Legal
If applicable: / onderrtand the tydtem type specifved /c different from the type rpecifed on the app/kation. / accept the rpecih'cirtiom o! thir permit.
Representative Signature: Date:
This Commission Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when then is a change in ownership of the site. This
Lomtmcnon Authorization is subject to compliance with the provisions of the taws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: taJall aot--
A�.�rc Construction Authorization Expiration Date: IZAaod'a
HIE# --qZ/61 Permit # a 9 gees
Harnett County Department of Public Health
Site Sketch
ISSUED TO:
Authorized State Agent.
yy
PROPERTY LOCATON: (S2 igl4a)
SUBDIVISION 911ty
LOT # 3
Date:
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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: eria✓t Ale' /0I
Address:(, t�i),t 2,'vc.� 2.� Date Evaluated: Illigl% �/ i
Proposed Facility: 4 pZ_ 5-57 Design Flow (.1949): i� C�
Location of Site: Property Recorded: Y417
Water Supply: ublic❑ Individual ❑ Well
Evaluation Method:❑ uger Boring ❑ Pit ❑ Cal
Type of Wastewater: Q'Sewage ❑ Industrial Process
Sheer.
Property ID:
Lot #:
File #:
Code:
Property Size: t• y) A6
❑ Spring ❑ Other
❑ Mixed
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
c,2
a4-Y�
g�c sw
G� s p
srr[ jlGggl
L 36'
O -Q4
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v4q
P5
a� �
�� sem-
r-� 5 ry"
1. s� 2�iteJ36"
3�
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Description Initial Repair System Other Factors (.1946):
System Site Classification (.1948): Qt vv�� t on titJ Available Space(. S ace(.1945) Evaluated By: ^ ,�
System T s) 1 G Others Present: "`�
Site LTAR