IPACHTE # -5 3c24`1 Harnett County Department of Public Health
Improvement Permit 27419
A building permit cannot be issued with only an ovement Pe . mt
! PROPERTY LOCATION: 1 Impr L .4 r r, ,
ISSUED TO: c--L L- vcz,, SUBDIVISION Qa°s5o sa4 Y'o} g1 E LOT #
NEW'X REPAIR ❑ PANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: 5V9 )
V9
Proposed Wastewater System Type:�1 v -i,u c�; ®sl
Projected Daily Flow: GPD
Number of bedrooms: '3 Number of Occupants: max
Basement ❑Yes XNo
Pump Required: ❑Yes No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ ommunity K Public ❑ Well Distance from well CO® feet Permit valid for: Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: \ ���� �"� Date: f ' ? SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the i o of other permits. The permit holder is res onsible for 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 Improv Went 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, .1951, .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 - VG4�,J� PROPERTY LOCATION: )
SUBDIVISION PQ s ions LOT #
Facility Type: `J��`2'3P6� El Expansion ❑ Repair
Basement? El Yes ` No Basement Fixtures? 5eNew
s 'No
Type of Wastewater System ** 2s °l (� �. uc„IyAIJ 5 %
ISSUED TO:
Authorized !
v.
Permit # a� Z)>
Harnett County Department of Miblic Health
Site shetch
PROPFRTY 10(.ATON- V 21
e v * 612- (27,-
LOT # 7
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: �1��,3
Address: Date Evaluated:
Proposed Facility: 3-*QC-1M5 Design Flow (.1949):
Location of Site: Property Recorded:
Water Supply: Public❑ Individual F1 Well
Evaluation Method Au lj o 'ng ❑Pit El 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
to
YTA, "l-A
Q3i
G 5
► ,�+�� �
364H
-5 t -
W'L Pas�V �'
S• G
Description
Initial
Systeril
Repair System
Other Factors (.1946):
Site Classification (.1948):/5
Evaluated By: Qr,�
Others Present:
Available Space(. 1945)
System Type(s)
'5'S" UP
C
Site LTAR
• b
to