IPAC RHTE# og - S---M--7 I Q Harnett County Department of Public Health 2 5 5 8 5
Improvement Permit
A building permit cannot be issued with only an Improvement Perm''
R PROPERTY LOCATION:_ t~utzrsF¢~ s3
ISSUED T0: GAYS^~E '-~1r+c> ~pQcc~ SUBDIVISION ~fo~5v ~~q E LOT # S11
NEW REPAI~ ❑ EXPANSION E3 Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: _ 5 C'O SC? ' " 3)
Proposed Wastewater System Type: Pu r m -"o Qv Pj-4 KC,brg
Projected Daily Flow: `14 O GPD
Number of bedrooms: Number of Occupants: max
Basement ❑Yes No
Pump Required: Xes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well lL Ob feet
Permit valid for. ~ Five years
Permit conditions:
❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees the ce
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: 11 -%-l J0J SEE ATTACHED SITE SKETCH
of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
vement 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, .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 layout
ISSUED T0: Go.~s~rr ss ~•-to .,~L oqs ,a S PROPERTY LOCATION: vQ66(LJ QZ
SUBDIVISION 900 ar6 H\a.£ LOT # -1-
Facility Type. SC-'fl nl't3~ New ❑ Expansion ❑ Repair
Basement? ❑ Yes '~E< No Basement Fixtures? ❑ Yes No
Type of Wastewater System** P 0r1Q C --4 T- r-5\0 " D"L- (Initial) Wastewater Flow: 3L GPD
(See note below, if applicable ❑i
PV M V 10
Installation Requirements/Conditions
Septic Tank Size Le7,6 7 gallons
Pump Tank Size 10~50 gallons
Pump Requirements: ft. TDH vs.
Conditions:
~-v *r-4 -n,Mvctnr}S%L (Repair)
Number of trenches V
Exact length of each trench 1~ feet
Trenches shall be installed on contour at a
Maximum Trench Depth of. 2.1► inches
(Trench bottoms shall be level to +1-114"
in all directions)
GPM
Trench Spacing: 9 Feet on Center
Soil Cover. Q-.-sg inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
(o inches below pipe
2 inches above pipe
ta1 inches total
**If applicable: /understand the system type specified it different fram the type specified on the app/ication. /accept the rpec1f1cat1ons of thin permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocat on site lak or the intended use changes. The Construction Authorization shall not 4sfrred when there is a change in ownership of the site. This
Construction Authorization is s compliance a ws and Rules (or Sewage Treatment and Disposal and to the conditpermit. SEE ATTACHED SITE SKETCH
10 < Authorized State Agent.. Date: Const 'on Authorization Expiration D0 }
HTE# 1
Permit # A 55'x--)
Harnett (bounty Department of 1-"liblic Health
Site ketch
ISSUED T0: PROPERTY LOCATON: S11 ~xz n y L
C.pv~N~ ~Np ~~Ea.oP«.E.r
SUBDIVISION Wooosr~~q E LOT #
Authorized State Agent 61-1 1 -1~0
L Date: _J-)1
X41 ~
tSp
V, ",eQ,3 u6H Q,n-
ueparmicauur comiunmenr, nedltlI. dllU 14dlU1d1 r%ebUU1l.eJ .31ee.
Division of Environmental Health Property ID:
On-site Wastewater Section Lot #
File aY:
SOILiSITE EVALUATION Code:
for OV-SITE WASTEWATER SYSTEM
Owner:
Applicant:
Address:
Proposed Facility: Q>QQQj0Or,, ~O~ yE Design Flow (.1949):
Location of Site:
Water Supply: Public (j Individual Well
Evaluation Method: Auger Boring [ j Pit
Type of Wastewater r:~Sewage ( J Industrial Process
R
u
SOIL MORPHOLOGY
F
.1941
PF
1
.1940
.1942
L
Landscape Horizon
.1941 .1941
Sod.
E
Posftrd Depth
SbucfurW Conalshom
I
Webm"lar
0
S % (IN.)
I Texture mirwallogy
Color '
L$
4e
C S V~1) N$
Date Evaluated:
Property Size:
Property Recorded:
(J Spring
(I Cut
(J Mixed
( J Other
OTHER
ILE FACTORS
.1943 i98Q
.1944` Ptaf14
Sol SWO
Re* Class
Depth (IN.) Clsq
Hor1s & LIAR
C) -4 6 s 1 ym- Ns)u4
Initial
Available
System T~
Site LTAR
1
cy►~
5
repair system Other Factors (.1946):
(Site Classification (.1 948):.,'5
Vn
e°'4
Evaluated By: d\
nthare Prncnn!•