IPAC�7-s-usIo3f j Harnett County Department of Public Health 9444
HTE#
Improvement Permit
A building permit cannot be issued with only an Improvement Permit ^
PROPERTY LOCATION: W As_t_ VGAS 1�D
ISSUED T0: �i 1—Oy S \ L N S � SUBDIVISION Swe1 c W c iF1i_ LOT # S)_
NEW)< REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: -S R—O i
HTE# » -5-t-i1 rJ-q Permit # a�y�L)
Harnett County Department of INiblic Health
Site `ketch
PROPERTY LOCATON: W �"t- t—vGP,S RD
ISSUED TO: z—A v S I'a —SUBDIVISION sw Gem NTC-_ LOT # 5
Authorized State Agent
�D t^\ i ((11 �l Y��G�� Date: 1'
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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: Z
Proposed Facility: Q�flQ e!\ Design Flow (.1949): J 0
Location of Site: Property Recorded:
Water Supply: Public❑ Indii4idual ❑ Well
Evaluation Method:❑ Auger Boring Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size:
❑ Spring
❑ Mixed
❑ Other
P
R
O
F
1
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 (M.)
.1956
Sapro
Class
.1944
Resn
Horiz
(
3 6
C.. s
v�R.l •dp.0
Description Initial Repair System Other Factors (.1946): r,
S ste Site Classification (.1948):
Available Space(. 1945) Evaluated By ON
System Type(s) Gp Others Present: J
Site LTAR