HomeMy WebLinkAboutIPACHTE# I&6-432INI Harnett County Department of Public Health 29947
Improvement Permit
A building permit cannot be issued with only an Improvement �Pe�rm��it�� /
,, } PROPERTY LOCATION: Q" :ra 4Zx�, l )44S5 1)
ISSUED TTO/Y'a `` 5 Yle(Tv O � SUBDIVISION LOr#
NEW Lu PAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 26,7 r LX/ S f 25�L
Proposed Wastewater System T pe:
Projected Daily Flow: GPD
Number of bedrooms: — Number of Occupants: max
Basement ❑Yes Cd' 0o
Pump Required: []YesNo ❑ May be required base �mal location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Public f�^ 1 Distance from well feet VL4 1 Permit valid for. rive—years
Permit conditions: ❑ No expiration
Authorized State Agent:: Date:---
ate:1P' SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Depamnem in no way guarantees the issuance of other permit. The permit holder is rmpovr le 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 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 .195D..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: &ASIN PrSi�Cfti� � PROPERTY LOCATION: P) SrZ '143 1�
s s SUBDIVISION LOT # —
Facility Type: Z_K 66 R'New, ❑ Exoansion ❑ Renair
Basement? ❑ Yes EP-1ro Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** (7onuenLi'll &A \ C) 2 'z;?6ld (Initial) Wastewater Flow: SC -0 GPD
(See note below, if applicable
❑LIVt4'-y'cr"N G(L (Repair)
Installation Requirements/Conditions Number of trenches _4—
Septic Tank Size L C'DC"�> gallons Exact length of each trench S 00 feet Trench Spacing: c% Feet an tenter
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. I inches
Maximum Trench Depth of: 2qinches (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 inches below pipe
Aggregate Depth: inches above pipe
Conditions: LAD/ Z�R— - E�\ penMLc 6, "1 i W inches total
t
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 rryrtem type spec/led is different from the type rpedfied on the app/icadon. / accept the sped cations o/this 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 shall not be transferred when there is a change in ownership of the site. This
Concoction Authorization is
Authorized State Agent:
with the provisions of the laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Date: 025 103I &-'tq
,J Construction Authorization Expiration Date: n' /Ico) �
HTE# -'s - q 3a q Permit # o2Cly �
Harnett County Department of Public Health
Site Sketch
n J I PROPERTY LOCATON: 20 QJL\ . ( S 2 )iia,
ISSUED TO: {� t 6, Slcvs�y r��� SUBDIVISION LOT #'—
Authorized State Agent: Date: <3S/ca3l201
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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: 'M� x b�s?�y W cst�c2.�1
Address: le>M8 0 tx � Date Evaluated: 05/61 I a>)�9
Proposed Facility:S}'Z> Design Flow (.1949):
Location of Site: cE] Individual
Recorded:
Water Supply: ❑/ `�f'—,f_�_lic❑ Individual Well
Evaluation Method: Auger Bo ' ❑ Pit ❑Cut
Type of Wastewater: Afl, Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
P
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F
1
L
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#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
<AR
.1941
Shucture/
Texture
.1941
Consistence
Minenflogy
,1942
Soil
Wetness/
Color
.1943.1956
Soil
th(IN.
Depth (IN .
Sapro
Class
.1944
Restr
Horiz
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Description Initial Repair System Other Factors (.1946):
System_ Site Classification (.1948):
Available Space (.1945) Evaluated By: q _ `
System T s) - r, Others Present: A(e-Z> CN:Yt/1/NzGGfS
Site LTAR