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HomeMy WebLinkAboutIPACNTE# k';3—5-4--�bi--i Harnett County Department of Public Health 29861 Improvement Permit A building permit cannot be issued with only an Improvement Permit SiL. ILI DS PROPERTY LOCATION: NSO Ce b. t -n . ttebSn rL i,� ISSUED TO: SUBDIVISION CLOT # NEW PAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 3fbn.. Yr IxeaII S� Proposed Wastewater System Type: 2S.'1 Projected Daily Flow: '3 a c, GPD Number of bedrooms: 3, Number of Occupants: an Basement []Yes Pump Required: []Yes ❑ No L_11aybei°ired based on final location and elevations of facilities Type of Water Supply: El Community CkY ublic ❑ Well Distance from well feet Permit valid for, Permit conditions: ❑ No expiration Authorized State Agent:L`% �f / ,!/r Date: G G 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 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 m compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Construction Authorization (Required for Builder Permit) The construction and installation requirements of Rules .19SO, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in acmrdance with the attached system layout 52 i4U ISSUED T0: �t r ennt� z 11e,r y BrryS, Lu— PROPERTY PROPERTY LOCATION: `/SO voice-sb�r 9w� (,n . (cowija CZa� v r SUBDIVISION c: � Ll� per_ c� LOT # 'a 1 Facility Type: 33°i `!u x 5 S. o [3— ew ❑ Expansion ❑ Repair Basement? ❑ Yes 11-1 o Bass? ❑ Yes ❑ No Type of Wastewater System** a J � (Initial) Wastewater Flow: 34' GPD (See note below, if applicable ❑) 0 2,-t . ST_(Repair) Installation Requirements/Conditions Number of trenches _� Septic Tank Size t gallons Exact length of each trench e6 96—feet Trench Spacing: 9 Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil (over, 6 inches Maximum Trench Depth of /P 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: (t. TON vs. GPM a 'k inches below pipe Aggregate Depth: r -J A inches above pipe Conditions: �—Sou awL 3�t\ lj;S�r,tOta� p/l YLa� vd ty� e.sk inches total 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. *If applicable / understand the tyJtem type rpeciled it diKerent /cons the type specified on the app/ication. / accept the JpeciTiatiaac of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subjett to revomtien 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 lons nushon 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 State Date: e' a G /aC, 16 Construction Authorization Expiration Date: oarcl `loC 0 HTE# -6 — ti 3Gi —4-- Permit # ai 8c„ / Harnett County Department of Public Health Site Sketch 52 r40✓� PROPERTY LO(ATON: 4,50 U-.kesl ISSUED TO: T"L"I e- I40rR- Roos LlC SUBDIVISION G��Gv,t, LOT # �f v J Authorized State Agent �A� yj� Date: I laGIacIC 1>-Q70F 'C -Z.- \ ',}�.�'c,� 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: I c,"nnyle "a&w_ Qtas . Address: Cal(lasb�y & L'A :*) Date Evaluated: o% o^G I g Proposed Facility: 30,,L 5.f� Design Flow (.1949): 3c.L, CM Location of Site: Property Recorded: YPS Water Supply: ublic❑ Individual ❑ Well Evaluation Method: uger Bo ' ❑ Pit ❑ Cut Type of Wastewater: a Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: d, Yf3 (- ❑ 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 MineralogyColor .1942 Soil Wetness/ .1943.1956 Soil Depth (M.) Sapro Class .1944 Restr Horiz L 0-96 Vk. L5 (,c. M11, V P-5 20-3(, FSI 1 Ih� SSSPY .SY2al,6,139 h 3(d C .4 a L y o ao �5 vg2- v C>- L 14-&1. fie Description Initial Repair System Other Factors (.1946): System Site Classification (.1948): Uno�.Iok- �Pwacurol�,j 3.>w Available Space (.1945) Evaluated By: System Typels) 5 /l.cb Others Site LTAR