Loading...
IPACHTE# 115- Harnett County Department of Public Health hDrovement Permit 26466 A building permit cannot be issued with only an Improvement Permit p PROPERTY LOCATION: MPA2Y-s ~ZD ISSUED TO: ~AOW A2(D I>0 s t-GJC--~I-J SUBDIVISION NSY~'rg 2t~ LOT # "S _ NEW, REPAIR ❑ E ANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: 5V9 (5ur~zi5 Proposed Wastewater System Type: C..otv-J en-r l ~ n H 4N Projected Daily Flow: 0 GPD Number of bedrooms: L-~t Number of Occupants: max Basement ❑Yes 'KNo Pump Required: ❑Yes e'K No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ~R Public ❑ Well Distance from well V CEO feet Permit valid for: , Five years Permit conditions: ❑ No expiration Authorized State Agent:: Date: \l SEE ATTACHED SITE SKETCH The issuance of this permit by the Health Department in no way guarantees thei a Hof 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 Impro ment 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. ISSUED TO: OW E"c c, ~,c2PROPERTY LOCATION: M-Pa-<S 91.0 SUBDIVISION ocuP LOT # Facility Type: SqQ (5ti-AL"0 New ❑ Expansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** Cd j-4-4 Lo N [NJ_ (Initial) Wastewater Flow: GPD (See note below, if applicable C..a A'J-J G- r-, X_ 0 rt N f^ (Repair) Installation Requirements/Conditions Number of trenches 1 Septic Tank Size l © ® o gallons Exact length of each trench 3- (D feet Trench Spacing: c) Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: 1 a. inches Maximum Trench Depth of: 21--q 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 Aggregate Depth: Conditions: 6 inches below pipe 2 inches above pipe 1 cl~_ inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. O UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / understand the ryrtem type specified is different from the type specified on the application. /accept the specifications of this permit. Owner/Legal Representative Signature: Date: Thic r-mirtinn duthnrhatinn is mhiert-tt vnratinn if the cite nlan_ nlat. or the intended use chances. The Construction Authorization shall not be transferred when there is a chance in ownership of the site. This Construction Authorization is subject to compliance with ovisi~f the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Agent: Q Date: Co uction Authorization Expiration Date: 2 HTE # ~l - 5 03 Permit # 'A 6 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: MP~CZ:~i-S ISSUED TO: E40,,,4 'b ~ L- 2 SUBDIVISION ~1E~ oct~t~ LOT # Authorized State Agent: S-v~1G~,~ oLY-5~~ Date: ` 1\ 85 WyNt1 (;Pm 6 Q- Department of Emironment, Health and Natural Resources Division of Environmental Health On-Site Wastewater Section SOILISTTE EVALUATION for ON-SITE WASTEWATER SYSTEM: Sheet: Property ID: Lot Fite Code: Owner. Applicant: Address: Date Evaluated: k) )-11 1 i Proposed Facility: C,,- 9-00, nv Design Flow (.1949): y~ F mperty Size: Locatiorit of Site: Property Recorded: WatetSirppiy; [ P0116 ❑ Individual ❑ Well ❑ Sprier Evaluation Method: Auger Boring ❑ Pit Cut Spring C1 Other Type of Wastewater. Sewage ❑ Industrial Process C1 Mixed. P it O F SOIL MORPHOLOGY OTHER 1 .1940 .1941 PROFtLS FACTORS L Laximpe Horizon .1941 E # Positiod Slope % Depth (1s) S .1941 .1941 t w soil .1443 .1916 .1944 A+om i tucub Conrtdwe Wd"aw son Sapro Re* Clue Texture Mlaenta Color IN. Clara Horiz. LTAX LS 3 c C s T \5 ~r3'~ S V~t~ t ; I,v~ tql? xe system Other Factors (.1946) Sits C1awiHcation (.1948) .5 Evaluated By: G,( Others Present: