IPACHTE# Q -.r ~ a Haitiett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: cZ7
25282
ISSUED TO ~_13 il (c,-,fit V{ow.V SUBDIVISION (.a,vre,( Voktcti LOT # 5-
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: J SF 0
Proposed Wastewater System Type: i
Projected Daily Flow: <1 Zo GPD
Number of bedrooms: 0 Number of Occupants: max
Basement ❑Yes 2 "'No
Pump Required: L~fYes ❑ No ❑~Mae required based on final location and elevations of facilities ~._~i
Type of Water Supply: ❑ Community [Public ❑ Well Distance from well feet Permit valid for [El Etve years
Permit conditions: ❑ No expiration
Authorized State Agent.: oY~,r,~.,~( J< Date: ~s ~-7 Ctz-oc SEE ATTACHED SITE SKETCH
The issuance of this permit by t earth Department in noway 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.
ISSUED T0: PROPERTY LOCATION:
SUBDIVISION ~~•3 a! LOT # rL
Facility Type: Fd Pl" New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
Type of Wastewater System** '0_1-,Cs CoAuVKAX,cA-&, (Initial) Wastewater Flow: GPD
(See note below, if applicable
f'z ~ tv SJ-16% ~ r 0--3- (Repair)
Installation Requirements/Conditions Number of trenches y
Septic Tank Size /po" gallons Exact length of each trench _ feet
Pump Tank Size /000 gallons Trenches shall be installed on contour at a
Maximum Trench Depth of- a q inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
r
Trench Spacing: 9 Feet on Center
Soil Cover / a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Aggregate Depth: inches above pipe
'r~ 12 inches total
**If applicable: / undeatand the system type specified it different from the type specified on the app/ication. / accept the specifications of this permit
Owner/Legal Representative Signature: Date:
n:. - -1--
• • Q •Vi• > - 1- 1~ ..~au~.... we gun p.ao, pia, ur roe nnenueu use cnanges. ine ionstruchan Aumonzanon shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to comnce 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
Date: t0
Construction Authorization Expiration Date: G
2nc 4
C ao/
r
HTE# Permit # u.Zr.2-F2
Harnett County Department of Public Health
Site Sketch
ff PROPERTY LOCATON: --2 7
ISSUED T0: ~~.~bet`[GNC ~nr.cf' SUBDIVISION LOT # S'(,
Authorized State Agent: Dater
~eea, r-
4--x q
f M. c'A c)T
'`~ssz ~ I G~ y- IC
3c-'
Ut
w 26.23' 5 36 /
, S34 VI a p !.it 0
Ei 1 WETLANDS
9ti `ROBLEY RUSSELL
B 727,PG 297
S.E
LOT 58
vm S.E
S 37 6' 1 LOT 59
26
a y VII
.b
. `o Ir^ p,S.S.E.V N ~
',r ~ 1 g gp 0.562ac.
N ;5.37'36'E sig ~Cf v' ~u /
\
260.92'
Q
O.S.S.E.Vil ry Y 1 d
el;' .14 - 1 /
59 0.514ac. 1' S.E
a x. C' K, W 201.92 $ 1 i LOT 57 s$ / /
~~~?NE 1°..5 / XI
35°37'36'"« d
4 '1 4 4 1. 4 5
15ti a l' r' ~ 237.56'
t, 20'D.E.
O.S•S.E.V111 %
58 0.466oc.,~ i $ ss~
n, ° N 35°37'36"El vl in S.E
214 19' N Sga LOT 56 ROBLEY RUSSELL
m t r' 0 .S.S.00 1 X O
~ 2
! + 57 S6t C _ DB 836,PG 101
1 /
N X45 ~ d, ~0.452ac. 20'o.E.
S 33• ^ LEGEND 11 3S
3 yo. 165. N S.E 0 M~ LJNES NOT SURVEYED--------------
O.S.S.E. x m LOT 55 1UNES SURVEYED
IX EIP------ EXISTING IRON PIPE
56 t„ ~ ; ECM------EXISTING CONCRETE MONUMEN
C47 ti ,n Q / EIS------EXISTING IRON STAKE
~J 0.687ac. v; n a EPKN EXISTING P.K.NAIL
~ / PKNS------ P.K.NAIL SET
1 y l N -----NOIWIOF FORMALLOD STAKE
O a~ N Q - /
10 S5 ? , N + l R/W------ RIGHT OF WAY
`ti. y~` 9 c o C/L------ CENTER LINE
Kopf n ,^h 0.810ac. i•~ MIS------NEW IRON STAKE
h O.S.S.E.Ix NIP------NEW IRON PIPE
ERRS------EXISTING RAILROAD SPIKE
1a f EIS / NRRS------ NEW RAILROAD SPIKE
1a s.Le.
361.31' 39.92' CP------ CALCULATED POINT
1,14.64' S 40°24'06"W 487.31' 0T
EMN------ EXISTING MAGNETIC MAIL
EIS NAIN------ NEW MAGNETIC NAIL
/ ECS------ EXISTING COTTON SPINDLE
JUAN MULERO NCS------ NEW COTTON SPINDLE
DB 1252,PG 10 / EIP/EIS---(CONTROL CORNERS)
ECM/PKN/ECS (CONTROL CORNERS)
CB&D--CHORD BEARING AND DISTANCE
\ D.E.---DRAINAGE EASEMENT
S.L.E.--SUPPLY UNE EASEMENT
/ S.E.---SEPTIC EASEMENT
vncoa.
Division of Environmental Health Property ID:--
On-site Wastewater Section Lot
File
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: Design Flow (.1949): Property Size:
Location of Site: Property Recorded:
Water Supply: [ ,fPublic [ ] Individual (J Well [ J Spring [ j Other
Evaluation Method: J_yAuger Boring [ ] Pit [ J Cut
Type of Wastewater. [ 1,9ewage [ J Industrial Process [ ] Mixed
P
R
O
1
SOIL MORPHOLOGY
.1941 '
OTHER
, PROFILE FACT
ORS:-
!
i
I
L
E
#
1940
Landscape
Position/
Slope%
Horizon
Depth
INJy
.1941
Structure)
Texture
-
_
1941
'Consistence
Mineral'
1942,
so"
. Wetness/ -
Color
,
t 943
E, Sol-
77epth (IN.
1956
ap
) Class
1944`
Rests;
Nosh:.
Profile r
Cfass
8&!TAR
c
- Zj
N
Description
Initial System
Repair System
Available Space (.1945)
System Type(s)
n,,(
Site LTAR
f
s
Other Factors (.1946):
Site Classification (.1948):
Evaluated By.,
Others Present: