IPACHTE# ra• - S° 3o a3a. Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement P rmit
PROPERTY LOCATION: oc.s
ISSUED TO: w tivcri t w 1N L SUBDIVISION 1 md-N—S Ca R.o Gr LOT # 101
NEWA REPAI ❑ _ JANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: SV '5 ScV
Proposed Wastewater System Type:"!o 'D%FAUC:
HTE# 1�," S" 30 a Permit #
1zj®°
kr..►su cam,► 0 y Lj"�
150'
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: Lj f)60(Mr)j, Design Flow (.1949): �� Q
Location of Site: Property Recorded:
Water Supply: Public❑ Individual ❑ Well
Evaluation Method: Auger Bo 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
D
LthIN.)
.1956
Sapro
Class
.1944
Restr
Horiz
• G
G—
r
�0" LR l7
SQ11 SL
45 +e
L 66) 44
°
Description
Initial
systeiX
Repair System
Other Factors (.1946):
Site Classification (.1948):
Evaluated By: vl
Others Present: —
Available Space (.1945)
System Type(s)
o
Site LTAR
. co
• G