Loading...
IPACHTE# Harnett County Department of Public Health Improvement Permit 27448 A building permit cannot be issued with only an(' �Improvemen Permit (�'�_� PROPERTY LOCATION: ISSUED TO: �'� } 1 `47N��Q JG� G(j�<j SUBDIVISION QAwr�or� LOT # 1L1S NEW: REPAIR ❑ (PANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5 t;=q U.), X9 ► Proposed Wastewater System Type: S°�Q 1ZGo vCr N o, Projected Daily Flow: O GPD Number of bedrooms: .5 Number of Occupants: P p max Basement ❑Yes W No Pump Required: ❑Yes �No May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well 1100 feet Permit valid for. ,Five years Permit conditions: ❑ No expiration Authorized State Agent:: � �I The issuance of this permit by the Health Department in no way guarantees t ' ance site is subject to revocation if the site plan, plat, or the intended use changes. The Im the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Date: 5I b' 13 SEE ATTACHED SITE SKETCH of other permits. The permit hoI er is iesponsible for checking with appropriate governing bodies in meeting their requirements. This Cement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of 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 "s- caRJ PROPERTY LOCATION: / SUBDIVISION Q�`t;.s\ot4°c LOT # 1� Facility Type: S C lFQ (-' 1 L � New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes NN o Type of Wastewater System ** .;5 °lo t �� 1 d N y g� � s' (Initial) Wastewater Flow: �� GPD (See note below, if applicable ❑) 1 -S ®lo RE''au G�v ot� (Repair) Installation Requirements /Conditions Number of trenches 3 Septic Tank Size ► gallons Pump Tank Size gallons Pump Requirements: ft. TDH vs. Conditions: Exact length of each trench `QS feet Trenches shall be installed on contour at a Maximum Trench Depth of., QO- °- X inches (Trench bottoms shall be level to +/ -1/4" in all directions) GPM Trench Spacing: Feet on Center Soil Cover: 1�; � inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: 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. inches below pipe inches above pipe inches total * *If applicable: /understand the system type specified is different from the type specified on the app lication. / accept the specifications of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is ect to revocation if the site plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownershia of the site This nuenuiiLaraun is s c !ocompuanc ov f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: kcm S Date: 5 -6 ) 3 Const ' Authorization Expiration Date: t �Z HTE# ti 3 - S -31p'-l3 D-4 4. 21--74U4 ISSUED TO: �A Ay Authorized State Agent: m C) WL M� C'V Ge-" i CLNN� tJ R 1 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: Tj 90© _,f\S Design Flow (.1949): 60 4� Location of Site: Property Recorded: J Water Supply: Public[] Individu 1 ❑ Well Evaluation Method:❑ Augef Boring Pit ❑ Cut Type of Wastewater: - El Sewage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Other ❑ Mixed P R O F I L E # .1940 Landscape Position/ Slope % Repair System SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR Horizon Depth (In.) .1941 Structure/ Texture .1941 Consistence .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz g� (�^Mineralogy 'L\ Description Initial Systew Repair System Other Factors (.1946): Site Classification (.1948): j Evaluated By: (5 Others Present: Available Space (.1945) System T e(s) c Site LTAR 3 x