IPACHTE# Harnett County Department of Public Health 30110
Improvement Permit
A building permit cannot be issued with only an Improvement P Smit
aa PROPERTY LOCATION: o �2
ISSUED T0: L iN ,Go �� S Q m W U l AC�rL.S SUBDIVISION --T.s 4.6 w 0 y � —, G LOT # 15 oll
_
NEWV REPAIR ❑ ERPnION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: Gip �30 i°x L
Proposed Wastewater System Type: a57w 'D covcnS u,,, SvS(:..cN
Projected Daily Flow: abet) GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes �KNo
Pump Required: ❑Yes --K No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community 'JR Public ❑ Well Distance from well feet Permit valid for. 2X Five years
Permit conditions_ ❑ No expiration
Authorized State Agent: Date: C ) ai I NJ SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees t e e of other permits. The permit holder r respansihle for checking with appropriate governing bodies in meeting their requirement. 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..
Construction Authorization
(Required for Building Permit)
The constmttion and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, AM, .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: PROPERTY LOCATION: �u^10 0n—
;� SUBDIVISION %yuc6., ficr)N E LOT # 1�
Facility Type: S �.0i
HTE# V1 - Permit # 30110
Harnett County Department of 1'ciblie Health
Site Sketch
PROPERTY LOCATON:
ISSUED TO: 1—gr,co C, s0 *, .o(A3 SUBDIVISION Tl�6G�1 N(E LOT # 159
Authorized State Agent: Zr-� �� " �oLV aarEl Date: C I'1 j a
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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:
Proposed Facility: `3 eOQ w -s Design Flow (.1949):340 C�
Location of Site: Property Recorded: 11
Water Supply: Public❑ Individual ❑ Well
Evaluation Method Auger Boring ❑ Pit ❑ Cut
Type of Wastewater: S ❑ 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
.1943.1956
Soil
Depth IN.)
Sapro
Class
.1944
Restr
Horiz
L3
a S
0--,o
c 5)-
�)
C
5317
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P13
d
O�
G S L
VF2 NSIy
_k
36
nTe- C-
V -:n 55)4P
CKt a
p5
�<
55 sc
CCL -81
3S
030
C' SL
V� NS�u�
3p
sex L
P1 s 5� 5Q
CCL a e 31
f 5
FR �
6 5 L
VCh Nj�v�
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531L G
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(L3Cai
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System Other Factors (.1946):
Site Classification (.I948)!P-)
Evaluated By:o7
5�1'L71%`CC' Others Present: —