IPACHTE# I4-S—'JZaa-q Harnett County Department of Public Health
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Get Aon efts,
ISSUED T0: L v P roc, ri n SUBDIVISION
NEW REPAIR ❑ EXPANSION ❑
Type of Structure: Z 42 R6ay ao s 5 C:ir�
Proposed Wastewater System Type: Zb% &,.& "J,, o Sys .
Projected Daily Flow: 'Za4 6 GPD
Number of bedrooms: a Number of Occupants: —44 --max
Basement ❑Yes ❑ No 30K
C,
29225
LOT # s o
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes fJ Ao ❑ Maybe required based on final location and elevations of facilities
Type of Water Supply: ❑ Community LST Public ❑ Well Distance from well :✓4- feet
Permit conditions:
Permit valid for.
❑ No expiration
Authorized State Agent: Date: Ocilaa/90a-4 SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for Jacking with appropriate governing bodies in meeting their requirements. This
site is subject in 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, .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: L o it. 9(-0400 PROPERTY LOCATION: 6.7 PCYY hcr.{r,„ N V_ &2 'vcr a2 . 5c1 941Ey')
SUBDIVISION n / rn,6 _ LOT # 16
Facility Type: 2g2 3s' r630s 5,=V, 0 --New ❑ Expansion ❑ Repair
Basement? ❑ Yes ❑ 119f,,10asement Fixtures? ❑ Yes ❑ No
Type of Wastewater System" —, i
HTE# ►� 5—g9a4(J Permit# ZP,aas
Harnett County Department of Public Health
Site Sketch
52 iy/
PROPERTY LOCATON: loot PonChat`E-u,n SEo Cn%Ji 2d .
ISSUED TO: L u; s 0('00-1\0 SUBDIVISION Cc�P-Lck ;n s L i AA -t i n6 LOT # /C)
Authorized State Agent: �CiS Date: ``lad /act
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Department of Environment, Health and Natural Resources
,Division pf Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner: — Applicant: L 5 Qroc.no
Address: Lc p�c:AS G- L,� Date Evaluated: 6g1o11 II
Proposed Fact ity: Lu(;; ID Design Flow (.1949): 2,4() 6eo
Location of Site: 144-j�-rO�,� Property Recorded: `I-�
Water Supply: LD rublic❑ Individual ❑ Well
Evaluation Method: uge1 �BB❑ Pit ❑ Cut
Type of Wastewater: Sewage ❑ Industrial Process
Sheet:
Property ID:
Lot #:
File #:
Code:
Property Size: G . cq I A C
❑ Spring ❑ Other
❑ Mixed
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
.1943.1956
Soil
Depth (IN.)
Sapro
Class
.1944
Restr
Horiz
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Description Initial Repair System Other Factors (.1946): ,
System Site Classification (.1948): li!)3J:�+Ide/Pro./�s�Lnwu� s..,kb�
Available S ace(A 945) Evaluated By:
System Type(s) 4.4 Zs ' u,i Others Present:
Site LTAR O • 5 1 49. 'R3