IPACHTE# tL4 S-3,To- � Harnett County Department of Public Health 28172
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: r�.�2�s�C �(),
ISSUED Tg: e���'� QS -y s --L' rn ,ri SUBDIVISION P k Ti -,a o5: <S LOT #
NEWN REPAIR ❑ EXPA ON El Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5�0 �S 1r nra O�
Proposed Wastewater System Type: -A-V10 u<� a 4 S!5 -76m
Projected Daily Flow: � i
HTE # ) Lt -5- � SQ5-2- '\
Permit #'�� Ma,
Harnett County Department of 1"ti-blic Health
Site Sketch
PROPERTY LOCATON: S)a
ISSUED TO: '��-JC—A— SUBDIVISION CaO55 �NG5 LOT #
Authorized State Agent: Ga— Date:
M
M-1
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: Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public[] Individual ❑ Well
Evaluation Method Au rB ring ❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring ❑ Other
❑ Mixed
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
L..<
o
1
Description Initial Repair System Other Factors (.1946):
S st Site Classification (.1948):
Available Space(. 1945) Evaluated By:
System'I e(s) _ 1 * Others Present:
Site LTAR 3 3
.3 k