Loading...
IPACHTE# KIcl Harnett County Department of Public Health Improvement Permit 26750 A building permit cannot be issued with only an Improvement Permit -10 PROPERTY LOCATION: r1 ~C'0-0 n Q~ ISSUED TO: ~urn¢~E LI P~~sQ VtOme'S 1HC SUBDIVISION 7i,, csv 9 LOT # _ NEW IX REPAIR ❑ EX TSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S T~ L'~-' Proposed Wastewater System Type: n4-4 S', (3 P4 p t.._ Projected Daily Flow: 60 GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes ? No Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities Type of Water Supply: El Community Public El Well Distance from well 100 feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: YzC ~y5 Date: N--O"a11 1 SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees the issuai other permits. The permit holder s r sponsible 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 Improvem it 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 .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 TO: C" Vr C, Facility Type: SFO ~SSrxuS~ Basement? ❑ Yes Type of Wastewater System** (See note below, if applicable PROPERTY LOCATION: ` CAR,B d r•tU1 -9 SUBDIVISION 1 tN `~r.t ~Lp.c.6 LOT # %-5 'X New ❑ Expansion ❑ Repair No Basement Fixtures? ❑ Yes No C--11 N-15 "r: N K L- (Initial) Wastewater Flow: GPD C-0nt-rG sit" 9", o N P.l.- (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size t©COJ gallons Exact length of each trench rl C' feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of: 11" 3-6 inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Conditions: Trench Spacing: Feet on Center Soil Cover: (-7?4~N inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: inches below pipe c~ inches above pipe )~;L' inches total WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: l understand the system type specified is different from the type specified on the application. / accept the specifications of this permit. Owner/Legal Representative Signature: Date: This Construction Authorization is subject to rev if the site an, 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 su~gc'14--Compliance'~wyth t " s o Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: eoc-~s Date: 1,~- Authorization Expiration Date: 1-~L: HTE# 11-5 a-~ 1--2`'~ Permit # Harnett County ]Department of 1"ablic Health Site Sketch ISSUED TO: Authorized State Agent: PROPERTY LOCATON: ~'uza lowwG2~ SUBDIVISION y 4E.~ P~ A c,E LOT # Q5 i o~iYFSL~01~J Date: _~~2 1 l 1-)-I l~ 5, 'p o u~ ~.As P~Ct'2.E.5 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: Proposed Facility: 3 fu'i ~bo~ Design Flow (.1949): 3/.C7~-P) Location of Site: Property Recorded: Water Supply:Public❑ Individual El Well Evaluation MethodAu Auger Boning ❑ Pit ❑ Cut Type of Wastewater: ~i Sewage ❑ Industrial Process Sheet: Property ID: Lot File Code: Property Size: ❑ Spring ❑ Other ❑ Mixed P R O F I 1940 OIL MORPHOLOGY .1941 THER PROFILE FACTORS L E # Landscape Position/ Slope % Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color 1943 Soil Depth (IN .1956 Sapro Class .1944 Restr Horiz Profile Class & LTAR i 4'4 j y~ N c2 r6I N C Description Initial S ste R air System Other Factors (.1946): Site Classification (.1948) Available Space (.1945) Evaluated By: O'~ System T e(s) Gd N/ C o, Others Present: Site LTAR q _ e, ~Zz -3 C