IPACHTE# 16i� Harnett County Department of lic Health
Improvement er it
A building permit cannot be issued with only an Improvement Permit
` PROPERTY LOCATION: Q) i-fl 40 4-al)
ISSUED TO: �QM SUBDIVISION !MP—„E Lr— 9—, ®c.F- LOT # lb
NEWX REPAIR ❑ r E3fRQNSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: '5 F: D - 5 S
Proposed Wastewater System T pe: �alct- 6r�yc.i s0�
Projected Daily Flow: �-l�c� GPD
Number of bedrooms: 1-i Number of Occupants: `% max
Basement ❑Yes XNo
Pump Required: Dyes ❑ No ay be required based on final location and elevations of facilities
Type of Water Supply: El Community Public ❑ Well Distance from well V) ® feet Permit valid for Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: ��M`' Date: -t 1 13 1 11 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issu other permits. The "Permitl 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.
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 TO: Sg;""4' -y MGM LLC_ PROPERTY LOCATION: ®w kzli.)
SUBDIVISION flck -"'—s& I-e LOT #
Facility Type: _ SZ ��l New ❑ Expansion ❑ Repair
Basement? ❑ Yes X No Basement Fixtures? ❑ Yes �; No
Type of Wastewater System ** Q-S°L o QZ D u C.;S 10 Al (Initial) Wastewater Flow: LAN Q) GPD
(See note below, if applicable ❑)
aS°�ld 'RCAVc-f� s ON (Repair)
Installation Requirements/Conditions
Septic Tank Size 10 ® Q gallons
Pump Tank Size gallons
Cy CGZ6DD
Pump Requirements: ft. TDH vs.
Conditions:
Exact length of each trench 5 X (�Q feet
Trenches shall be installed on contour at a
Maximum Trench Depth of: M inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
GPM
Trench Spacing: feet on Center
Soil Cover. inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
* *If applicable: 1 understand the system type specified is different from the type specified on the application. l accept the specifications of this permit.
Owner /Legal Representative Signature:
This Construction Author' ation is su ' r
of the site. This Const nc io+sorization
Authorized State Agent:
Date:
plat, or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership
the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit.
SEE ATTACHED SITE SKETCH
Date: $ 13 '
Cons to Authorization Expiration Date: 13 X
HTE # 16-7 �;- Permit # Q.L439<?
Mu-nett County Deptrtment of Public Health
Site sketch
ISSUED TO:
Al
Authorized State Agent:
I
I
PROPERTY LOCATON: li'=kl
SUBDIVISION il-A--W- Z"sDCr- LOT #
Date: 'b 13 2
gC-_,_, -)6)-
_p�, NA O,t4 N 1,3 6T 0 N
Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL /SITE EVALUATION
for ON -SITE WASTEWATER SYSTEM
Owner: Applicant:
Address: Date Evaluated:
Proposed Facility: ! Qr92S`�\ Design Flow(. 1949): L IZ
Location of Site: Property Recorded:
Water Supply: Public Individual r_1 Well
Evaluation Method - Auger ing ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
I
L
E
#
.1940
Landscape
Position/
Slope %
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
1943
Soil
Depth (IN .)
.1956
Sapro
Class
.1944
Restr
Horiz
NtFl, N,5) 'Af
1�
In�cz -� 6"
e5
�G`
3 sa-
V-z *IV
Description
Initial
System
Repair System
Other Factors (.1946):
Site Classification (.1948): ?5
Evaluated By:Qr\—
Others Present:
Available Space (.1945)
V
System Type(s)
ZS t tr
Site LTAR
. �t