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HomeMy WebLinkAboutIPACHTE# iq3-5--g3l96 Harnett County Department of Public Health 29874 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: �ry1Lc ;moo_ 2;Ve>r— n . i s L lig 18 ISSUED T0: ,S SUBDIVISION wi LOT # NEW �� REPAIR ❑ EXPANSION ❑ Type of Structure: LA `32 11 of X:-3) SRS Proposed Wastewater System Type: Ll 59b '1+zcwc .6n 5" - Projected Daily Flow: t/FAb GPD Number of bedrooms: Number of Occupants:yE5 max B no Site Improvements required prior to Construction Authorization Issuance: asement es o �— Pump Required: ❑Yes ❑ No �aC3 ITy bye r-etuuh d based on final location and elevations of facilities Type of Water Supply: ❑ Community Iad� ubllc ❑ Well Distance from well feet Permit conditions: Permit valid for. B-Frryean ❑ No expiration Authorized State Agent.: Date: 6.'C /G.,? /c3t5/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 plan, plat, or the intended use changes. The Improvement Permit shall not he 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, .1957, .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: PROPERTY LOCATION: Oc&4,44- liver (moi, iSCL- te- A SUBDIVISION LOT # Facility Type: N32 111i i 3s ew ❑ Expansion ❑ Repair Basement? ❑ Yes Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System" ;a 656tirz��x C�\ S , (ta=m (Initial) Wastewater Flow: GPD (See note below, if applicable ❑) ;a 6%, 2ewJ;Ibr` 5i', (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size 1350 gallons Exact length of each trench I0Q) feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 90 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft TDH vs. GPM Conditions: Trench Spacing: 7 Feet on Center Soil Cover. J inches (Maximum soil cover shall not exceed 36" above the trench bottom) lt-� inches below pipe Depth: ti R inches above pipe "A inches total WATER LINES (INCLUDING IRRIGATION) MUST BE IOFL FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. "If applicable: / understand the .them type specified /r different from the type rperiled on the app/ica#on. / accept the rpecibcatianr of this permit Owner/Legal Representative Signature: Date: This Construction Aulhorieation is subject to revoa6on if the sin 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 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 Agent: Date: V 3loa/aolr v L Construction Authorization Expiration Date: 03&a /ac' a-:3 HTE# I - `f 3 fq(o Permit # 9 q 6-:k N Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: 0Ckyfr; coo_ ayQe-r � C SeL I ISSUED T0: 2` �� g • pec ss SUBDIVISION LOT # Authorized State Agent: Date: Ca3 ./ o a / 67 0) C) NtC(U vx- � 2 \ v tG 2 fL-,Q),k Lj (_ s 2 tLI 10, -tjo r\ I � LG 5�I•+ \ \ tif32 Sir) aS,J nEncxziu �tPP.\Z ALLY I A ✓xt � vo � ' � 1� a 0 I � C) NtC(U vx- � 2 \ v tG 2 fL-,Q),k Lj (_ s 2 tLI 10, 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: t>t4:�i4jc. (1;, 2� Date Evaluated: Proposed Facility: Design Flow (.1949): iFE(7 GIZ: Location of Site: Sri— 7 Property Recorded: yr3 Water Supply:ublic❑ Individual El well Evaluation Method: ,ger Bon E]Pit El cut Type of Wastewater: tT Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: fit, S9 A -C-- ❑ 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 & LIAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943.1956 Soil Depth (IN.) Sapro Class .1944 Rear Horiz + L 3 yo C3 -a4 GQ Ls vot a9-38 34- st i< ; aV f -7 s YO, OSA 3 b d . L 31 c-29 L L�4,, VMYf aU- 3� PjL 5U. Gt 5y/P � PS 3(04 Pwcr� LI L 3� 0-a4 U,Ls �nof{' PS ;�I-as U- Description Initial Repair System Other Factors (.1946): System Site Classification(. 1948): Prc) ,CS�u�wl) 5 t Available Space (.1945) Evaluated By: System Type(s)o`Z S -.IA Others Present: Site LTAR