IPACHTE# i Q 5—gglot
ISSUED TO:
NEW ge
Type of Structure: '53
Proposed Wastewater System
Projected Daily Flow: UAC
GPD
Number of bedrooms: Number of Occupants: � max
Basement []Yes
Pump Required: []Yes L9'M0 El May be Fred based on final location and elevations of facilities ! ��
Type of Water Supply: ❑ Community [*-Public ❑ Well Distance from well l C'7�% feetC�r Alyor erkrmw"aLd
Permit conditions:
Harnett County Department of Public Health 30070
Improvement Permit
A building permit cannot be issued with only an Improvement Permit \
PROPERTY LOCATION: C,r2V.a,,6at:)c&4G% l Xt. 1 ciU31
l SUBDIVISION LOT
❑_ Site Improvements required prior to Construction Authorization Issuance:
19 �Vears
❑ No expiration
Authorized State Agent:: C_/ c� Date: C, So / C7� �r%% � 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 res checking with appropriate governing bodies in meeting their requirements. 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 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 T0: PROPERTY LOCATION: S a )qoC i )
t SUBDIVISION LOTS LOT #�
Facility Type: S-10� �51 3ff�-%
HTE# �� (S `i i Ic)( Permit # 3 CU -1`,
Harnett County Department of Public Health
Site Sketch
iI PROPERTY LOEATON: C,C,kes,l-,,,s, (L) C 5,L X 31
ISSUED TO: &14SUBDIVISION LOT #
Authorized State Agent: -�lG�' Date:
c3 To JOS /ob/f
�pr.] CAfsCC7a�- d"C�U?C �'�s2UP�-L
p,�rZt3c.,-tio� C:-Gr�,�l.al/t�—U 7fv�'1�
CY' N. /
r���� ✓ Sot
e�
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: f4v.`t�v ,* -"" "'Oq �,..,n'� .lg
Address: 7 DateEvaluated- �� U�1
Sheet:
Property ID:
Lot #:
File #:
Code:
Proposed Facility: a �� Design Flow (.1949): WP (' 0 Property Size: J. `t '3 ��
Location of Site: Property Recorded: V'�
Water Supply: ublic❑ Individual ❑ Well [I Spring ❑ Other
Evaluation Method:❑ ager B g ❑ Pit ❑ Cut
Type of Wastewater: Sewage E] Industrial Process ❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(In.)
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
&.LLTTAR
.1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
Depth (IN
.1956
Sapro
Class
.1944
Restr
Horiz
tJ2
+t q-1
c> -la
&-4 51 --SIS
Fi 5 °8
C>13
3�{
L -N-4
D -Q
G",7 5L
vrr- J�
CS
3
U�3
Description Initial Repair Syst Other Factors (.1946):
System Site Classification (.1948):
AvailableS ace (.1945) Evaluated By: ^��Njt Crh4 c2� -
System Type(s) g67c, + U 7GWk Others Present:
Site LTAR v