Loading...
IPACHTE# 3- Harnett County Department of Public Health ImDrovement Permit 27587 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: �. ISSUED TO: SUBDIVISION LOT # NEW Rl' REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Q0 `r_ rlll�_ 1 Proposed Wastewater System Type: Projected Daily Flow: '--1 BL's GPD Number of bedrooms: �— Number of Occupants: max Basement ❑Yes LJ No �/ Pump Required: ❑Yes ❑ No LET Ma be required based on final location and elevations of facilities Type of Water Supply: El Community Public ❑ Well Distance from well feet Permit valid for: ©live years Permit conditions: ^e ❑ No expiration Authorized State Ag • /V tA_ Date: `G7_ '1 1 3 SEE ATTACHED SITE SKETCH The issuance of this permit by a ealth 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 t e 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 .1 950, .1952, .1954, .1955, .1 9S6, .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 T0: PROPERTY LOCATION: re-4a s ftn yy� SUBDIVISION LOT # "`-� 11� Facility Type: f i14 2New ❑ Expansion ❑ Repair Basement? ❑ Yes ra5' No Basement Fixtures? ❑ Yes ZN o Type of Wastewater System ** 251 -� (Initial) Wastewater Flow: GPD Ll (See note below, if applicable ❑) lx (Repair) Installation Requirements /Conditions Number of trenches q Septic Tank Size "'' gallons Exact length of each trench /06 feet Pump Tank Size gallons Trenches shall be installed on contour at a Maximum Trench Depth of. 7_'Z)j � VY-Ayin'ches (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: inches (Maximum soil cover shall not exceed 36" above the trench bottom) 4 inches below pipe Depth: 2- inches above pipe _ I Z inches total WATER LINES (INCLUDING IRRIGATION) MUST BE 10FT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. * *If applicable: I understand the system type specified is different from the type specifed on the app lication. / accept the specifications of this permit. Owner /Legal Representative Signature: Date: This Construction Authorization is subiect to revocation if the site plan. plat. or the intended use chancres. The Construction Authorization shall not be transferred when there is a chance in ownemhin 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 Ag Date: Ord,® E( 3 Construction Authorization Expiration Date: ;� f HTE # L3 194 Permit # Iz 11 Si3l Harnett County Department of I�iblic Health Site Sketch a rc �, rl -77 1p 2 I I 15? Department of Environment, Health and Natural Resources Division of Environmental Health On -Site Wastewater Section SOIL /SITE EVALUATION for ON -SITE WASTEWATER SYSTEM f v Owner: Applicant: I `5 Address: ,�Lt Date Evaluated: Proposed Facility: d "� Design Flow (.1949): Location of Site: -,---Property Recorded: Water Supply: . Public❑ Individual ❑ Well Evaluation Method }'Auger Boring,,. -- ❑ Pit ❑ Cut Type of Wastewater: ❑-,T wage ❑ Industrial Process Sheet: Property ID: Lot #: File #: Code: Property Size: ❑ Spring ❑ Mixed ❑ Other P R O F I L E # .1940 Landscape Position/ Slope % Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence Mineralogy .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz r l 0 -Z2 SL 01-1 �L 0- Description Initial System Repair System Other Factors (.1946): Site Classification (.1948):�`j Evaluated By: C �-► Others Present: Available Space (.1945) 1r, System Type(s) *7 sr, t Site LTAR