Loading...
IPACHTE# 1'%°dS ° .t- 9 yHarnett County Department of Public Health Improvement Permit 2 6 3 3 8 A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO- r-V SUBDIVISION cam. C . ; r it 1' n LOT # NEW Z _ REPAIR ❑ r EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: A 14 l ky,7 o` Proposed Wastewater System Type: VCIL ° U" Projected Daily Flow: c~- qU GPD Number of bedrooms: vk Number of Occupants: T max Basement ❑Yes ❑ No Pump Required: ❑Yes Vo ❑ May be required basil on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public E 'Well Distance from well /1W3 feet Permit valid for: Eq'five years Permit conditions: ❑ No expiration Authorized State Agent:: t" lice& Date: ~,d1 2G t/ SEE ATTACHED SITE SKETCH The issuance of this permit by tro ath 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, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance with the attached system payout. ISSUED T0: /"l J`~wa I cra/" PROPERTY LOCATION: ~~c/ SUBDIVISION G,tu~.tJore LOT # Facility Type: Its New ❑ Expansion ❑ Repair Basement? ❑ Yes L? N0 Basement Fixtu es? ❑ Yes, ❑ No Type of Wastewater System** L C~ ILVe-A- t c 1 (Initial) Wastewater Flow: ©1V0 GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches 12, Septic Tank Size f 01Z~ U gallons Exact length of each trench feet Trench Spacing: Feet on Center Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover. inches Maximum Trench Depth of. d 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 ff Aggregate Depth: inches above pipe Conditions: _1.~ t~.~!r inches total WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA. NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA. **If applicable: / onderrtand the ryrtem type rpeci>ied it different from the type speci(ed on the application, l accept the specifications 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 ownershin 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 oermit. SEE ATTACHED SITE SKETCH Authorized State Agent. Date: /11 -C// Construction Authorization Expiration Date: ®t`/ HTE# sS= a2~`~ Permit # & k. 3 3 Harnett County Department of Public Health Site Sketch PROPERTY LOCATON: ISSUED T0: r~°I c ~c~ fal SUBDIVISION LOT # Authorized State Agent- Date: 1`l L ¢ 44. &7' ro Q f-/t Department of EAVirvnmenk Health and Natural Resources Sheet: Division of Environmental Health On-Site Wastewater Section Property ID: Lot SOIUSITR DEVALUATION File for ON -SITz WASTEWATER SYSTEM Code: Owner. Applicant: Address: Date Evaluate& `t Xt x `41 Promad Facility: Desigp Flow (.1949): Property Size: Locatia oY Site: Property recorded: WatetSuppty PAitger $C ❑ MdividtW [~pWen Evaluation Method: Borin ❑ Spnng Other Is ❑ Pit cut. Type of Wastewater. tScwage Q Industrial Process Mixed P R 0 F SOIL MORPHOLAOY OTHER L .1940 1941 PROFILE pACTORs L spa Hari 011 1941. E Poalflad Depth 17- .1941 .1941 ,Sarl .443 .19J6 N 91a~ % (1a) Strvehira/ Conelstema wcbmw 9oi! 9i 3 c -Mu-maluffy -,P,® °r°°w umer Factors (.1946) f1p - Site ClassiHcadou (-1948X 1 f ~,.~v c~ ~ $vahntted eye Others Present: .1944 i'rolllti Re* Ctao Hods. A LIAR' ~r ~