Loading...
IPAC RHTE#-Zsr-.2 (- `V'/rIE Harnett County Department of Public Health 28431 Authorized State Agent:: � � Date: 9t'3 hGIJ' 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 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 Improvement 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. A building permit cannot be issued with only an Improv ment Permit / t ISSUED T0: �jc—�l� rcY PROPERTY LOCATION: �2C% 2 •1 �Q-„�, PROPERTY LOCATION: /f'C est ®/ Facility Type: Som IJi New ❑ Expansion ❑ Repair -7 ISSUED TO , c,�w e rS y p y SUBDIVISION LOT # (Initial) Wastewater Flow: V60 GPD NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: F© Yo X 80 Trench Spacing: _� Feet on Center Proposed Wastewater System Type: %3nn.p a.I- /ee.(., Maximum Trench Depth of: /8 inches Projected Daily Flow: q6 GPD in all directions) Number of bedrooms: y Number of Occupants: max // Conditions: Basement ❑Yeses� CRNo Pump Required: id es Type of Water Supply: ❑ No 1:1 Community ❑Ma be required based on final location and elevations of facilities (Public ❑ Well Distance from well feet Permit valid for: Five years Permit conditions: ❑ No expiration Authorized State Agent:: � � Date: 9t'3 hGIJ' 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 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. / t ISSUED T0: �jc—�l� rcY PROPERTY LOCATION: �2C% / eco, C�®eI(l� u SUBDIVISION LOT # 7 ®/ Facility Type: Som IJi New ❑ Expansion ❑ Repair Basement? ❑ Yes ❑ No Basement Fixtures? ❑ Yes ❑ No pp Type of Wastewater System** A„o arX 2,4,4 -:car .�, t%.+-� (Initial) Wastewater Flow: V60 GPD (See note below, if applicable ❑) / (Repair) Installation Requirements/Conditions Number of trenches Y Septic Tank Size /000 gallons Exact length of each trench 8 Q feet Trench Spacing: _� Feet on Center Pump Tank Size 0®U gallons Trenches shall be installed on contour at a Soil Cover: inches Maximum Trench Depth of: /8 inches (Maximum soil cover shall not exceed (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM inches below pipe // Conditions: Aggregate Depth: inches above pipe 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: /understand the system type specifled is different from the type specified on the application. / accept the specipcations of 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 Construction Authorization is subject to compliant with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. Jtt AI IAIHED SITE SKETCH Authorized State Agent:Za cL.— r!f Date: ? 117 °!j— Construction Authorization Expiration Date: 7 zv -Z IF HTE# A3 -JrJ C Yr%J—/Z Permit # d % q_?l Harnett County Department of Public Health Site Sketch 1) PROPERTY LOCATON: /Vl`&�,, lc�►�ti( CtiLvu ,�c/ ISSUED T0: 1/P:'Xc. SUBDIVISION LOT # % c Authorized State Agen - e;_ l� Date: 6 Xcl-r C 0 �C 0 I 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: 61 -r/5— Proposed Facility: Design Flow (.1949): Location of Site: Property Recorded: Water Supply: [2T`ublic❑ Individual ❑ Well Evaluation Method: (a -Auger Bor g ❑ Pit ❑ Cut Type of Wastewater: 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 % Horizon Depth (In.) SOIL MORPHOLOGY .1941 OTHER PROFILE FACTORS Profile Class & LTAR .1941 Structure/ Texture .1941 Consistence .1942 Soil Wetness/ Color .1943 Soil Depth (IN.) .1956 Sapro Class .1944 Restr Horiz Mineralogy -% V/41 a�y lCl fr�� ����� 1� Ji _T7� c 1(S\v-71� .. Z� ofd Description Initial Repair System Other Factors (.1946): System Site Classification (.1948)./I/r Available Space(. 105) Evaluated By:'�.^- System Type(s) s`' _ o2I _ Others Present: G-( Site LTAR S`