IPAC RHTE# n°~-~acZ Harnett County Department of Public Health 2 5 6 7 5
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: ►-lw'r
ISSUED T0: SUBDIVISION I N N W G, 'i'a,' S LOT # f2
NEW REPAIR ❑ XPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S
Proposed Wastewater System Type: w n•P 0 AP
Projected Daily Flow: 3 +b GPD
Number of bedrooms: 3 Number of Occupants: Qo max
Basement ❑Yes No
Pump Required.Aes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community X Public ❑ Well Distance from well b(DO feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent: ~v~V.S _ Date: `i `Aq SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t . once of other permits. The permit holder is responsde 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, J954, .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 TO: ~t~EcL~c.P~.t \Ao~`~E -.r\N PROPERTY LOCATION: »,,1-4 1-4
SUBDIVISION -T LOT # 31
Facility Type: New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes X No
Type of Wastewater System" Q u nP p P $ P5 (Initial) Wastewater Flow: 3b O GPD
(See note below, if applicable
Pu,nO'So Co~rv ~n~4.~ w~~nESaEA.t (Repair)
Installation Requirements/Conditions Number of trenches c~I`-
Septic Tank Size to Cs O gallons Exact length of each trench QD0 feet Trench Spacing: `j Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: inches
Maximum Trench Depth of. 10% 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
Aggregate Depth: inches above pipe
Conditions: 'T~,.s A.RM ~t ~A ,OH P~oeosai M~PL_.co+4, s Soy Sc,,e r~,rr uas~ Lae inches total
P)v~-r ~E Icir5r2pc, S .`S~sKtiM Ne lk+L\-TIES I(`ilPy 0- Su.
1o.G~Eo 5 a S E V t.Q•ht (-m ~LS~u E~3'i
*If applicable: / understand the fyftem type specified is different from the type rpeciped on the app/ication. /accept the fpeci6cationr of thi permit.
Owner/Legal Representative Signature: Date:
This Construction Authorizatiatrt-"b to revocation a 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 in to c-1 ro s of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: a
struction Authorization Expiration Date: 9 1'-
i MICHAEL P. GRIFF{N , oww Not WNW owa wtb- w1
rp~Mn OW wd - I w 006W AN dowx Me! 00 w of
iw o of 00 wM/ w .0boww by www". 1 h /Q00V+ ; me M
ww Mo1w "w -W mb~bfM k".. Mp R
ti&URE P"A5E 38
X o~,
b ~
e
r
I
~
N
`
1
ose/~'/s•w
~
OPEN SPACE
1
WERAIND PRE `fRI/AT1ON
-
F
1
~ ~
a~i
~F
K f F-
d I
I
8 J
f
1
F f
F
'
r
1
I
I
/ F F
f f f
31,376 5Q. FT.
l
f f f
F K F i~
F
`
D. 720 ACRE I
x /
/
F K
I
-
F
~
F
"
I
N
F F
/ ~r f
~
I
I
F
K
~
`
-
-
F K
y
F
F
r
F
F F K
F
K
F K F
f F F F
f fi
f F F F F K F
~A f K K ii
K
f F K
~
F
F
F(t
F f f K F F
F F Fes,
<
F
F F
C
f 79 ;
N f if F
F
K K K f ice'
62)
F
i
I
taw 5.: 1
N
1
'
a I
=xazrrc g 'a'' 1
N
O
I
1
I
~:vr
R ar Y,,rCU cr I
1
4zx
I
t
I
I
_ I
-
-
lot f
20'5LOPE, DRAINAGE s UT!1J7YEA5ErwtE%,r
- -----1 / 1 I I----------------------
1 C t 5 38°22'16' E-, r 5.40
•59'
OMAHA DRI VE 51T~A~Ky
PRONT 35
REVI51C N: COM.MENT5 9/15109 50' PUBLIC Rml
R[AR 2-~
51DE 10
RZVI510W MANTEO 90 4/09
"510N: NEW RECORDING & 19109
CORNER 510E 20
Rk ISION: hATTERA5 COTTAGE 8/10109
REVISION: CNARLE5TON COTTAGE b!! 0109
C J R=575.00' ! -23.W' N3 7'1 055W 23.87'
L If G E N D
P R E L I M IN A R Y
EIP Ex15nNG IRON PIPE
rE5
FLARED END 5`CTION
IFS IRON PIPE 5177
WM
WATER METER
NOT FOR RECORDATION,
R/M RIGHT Or WAY
Co
CLEAN OuT
SALES OR CONVEYANCE
(5 Od~ IRON5TArlE
FM
ArC~aAk5IN
yp
GRIFFIN LA
A
AIR VEYING
T
PLOT P
LAN
I
,
FOR
P. 0. 9 D x 1 4 6
AMERICAN HOMESMITH
F U G U A Y- M A R I N A,
N C 2 7 5 2 6
rot 9'-567-Isa3
TINGEN POINTE
DRAWN BY MPG DATE 6/25/09 LOT 81
OMAHA DRIVE
CHECKED BY MPG SCALE T' w 40,
HARNETT COUNTY BARBECUE
ueparullvnt ut cnvounnlvnl, nIddurl, d11U IVdlUldl Met UUII.tlJ 01111"i
Division of Environmental Health Property ID:
On-site Wastewater Section Lot #
File
SOILrSITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEM[
Owner:
Applicant:
Address:
Proposed Facilitr3 (a C0#ZoomA%^a Design Flow (.1949): 3 b0
Location of Site:
Water Supply: Publlc ( ) Individual (J Well
Evaluation Method: Auger Boring Pit
Type of Wastewater. Sewage (j Industrial Process
R
Date Evaluated:
Property Size:
Property Recorded:
(J Spring
Cut
( ) Mixed
o
SOIL MORPHOLOGY
OTHER
F
•1941
PROFILE FAC'
1 .1940
.1942
L Landscape
Mod=
.1941
.1941
soft'
.1943
E PosHbN
Depth
Shudurel
Consistence
Wsi
Sol
0 SI %
(IN.)
I Temurt
mlineral"y
color
Depth N
t'6
')6%_
V2, S*) e
AM 11 .19"
swe Re*-
( I Other
~S
.3
Other Factors (.1946):
Site Classification (.1048): t-v;zp H6aK rtb PLAN
Evaluated By:
Others Present: V% F_