IPACHTE# 0(�5-141L4
HAF '.TT COUNTY HEALTH DEPART NT
IMPROVEMENT PERMIT 2 2 8 31
Be it ordained by the Harnett County Board of Health as follows: Section ltl, item B. "No person shall begin
construction of any building at which a septic tank system is to be used for disposal of sewage without first obtaining a written
permit from the Harnett County Health Department."
Name: (owner) Mooe.E 'AOMEfj New Installation Septic Tank, Repair ❑
Property Location: SR# Do? -5 Rxo Nitrification Line 0 Expansion ❑
Subdivision StxvzlP.ao •Roan Lot# 1-1
Tax ID# Quadrant #
Number of Bedrooms Proposed: 4+ (.*0 4 a Lot Size: J .00N�
Basement with Plumbing: C3 Garage: ❑
Water Supply: ❑ Well 'M Public ❑ Community
Distance From Well: i oo ft.
Following is the minimum specifications for sewage disposal system on above captioned property.
Subject to final approval.
Type of system: ❑ Conventional Other a 'X> Vks-ou c:K io" S vst r --n
Size of tank: Septic Tank: \ O oD gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 3 ft. of each ditch I a-0 ft. ditches 3 ft. ditches �''9 in.
French Drain Required: Linear feet
Date: 3I 3 6
�1�
This permit is subject to revocation if site PERMT ,'W S \ FROM ABOVE DATE
plans or intended use change.\��
�MAINCP�N AL,L s�t'gPS.�<5
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USE 1 S'�FROOW N
Signed: 1������ (4LWEsi7-, LF -!,ZD
Environmental He -ft Specialist
4 P2'.�AL �u NOV• QE.Pq\Q-
2B x -74
pNC* pu"e
%u.+ow 65,
fMfto -
HARNETT % OUNTY DEPARTMENT OF PUBLIC HEALTH
AUTHORIZATION TO CONSTRUCT
Authorization is hereby given to construct a wastewater system to the specifications described by
Harnett County Department of Public Health, Improvement Permit # `3.23 I . This
authorization shall be valid for a period not to exceed five (5) years from the date of issuance.
This authorization will be invalid if ownership, site plans, or intended use change.
'V L4-3341
Name
J-6cs "W`1@3C, Q47115 4Q
Address
2..035 �j ;oG'�MSP Qo
Property Location SR# Road Name
SScr t. V-jo ES'� ti—j Li (4'a
Lot #
TYPE OF SYSTEM
1.0 4�
Lot
New Installation [ ] Repair 7p"eptic Tank Nitrification Lines
[ ] Conventional Other 2, iff 94�,OocA ON4
[ ] Basement [ ] With Plumbing [ ] Without Plumbing
Water Supply: [ ] Well 'Mublic Water Supply Minimum Well Setback: Wo Ft.
Septic Tank 1030 gal Pump Chamber
NITRIFICATION FIELD SPECIFICATIONS
Number of fields # of lines per field 3
Length of lines VXa
Width of ditches 3 ft. Depth of ditches 3< --tai inches
French Drain: Linear feet required Depth of gravel
gal
Ft.
No wastewater system shall be covered or placed into use by any person until an inspection by the
Harnett County Health Department has determined that the system has been installed according to
the conditions of the Improvement Permit and that a valid Operations Permit has been issued.
N
Signature of Authorized Agent for
E
artment or cnvvonmem, neaun, ano Nawrai nesuuces Property"ID
sion of Environmental Health Lot #:
site Wastewater Section File #:
SOIL/SITE EVALUATION Code:
for ON-SITE WASTEWATER SYSTEDI
Applicant:
Owner:
Address:
)posed Facility: `�8C->`flen r�tlu` Design Flow (.1949):Uyd
cJe
cation of Site:
1 .3 Public [ ] Individual (] We11
ater Supply: [�/�
Au er Boring [ ] Pit
alualion Method: 9
Industrial Process
,pe of Wastewater: (
ewage [ ]
Date Evaluated:
Property Size.
Property Recorded:
[ ] Spring
[ ] Cut
[ ] Mixed
Initial ystem
SOIL MORPHOLOGY .
'OTHER
` FAC
f
'ORS '-
PROFILE
able Space (.1(945)
.--'--.1941:'
'. ..
..1944
11942
.1940
•Reser
.1941 ` 1941'
Soil '.1945
v�.t
Landscape
Horizon'
Structure/ Consistence
Wetness/' I Soil
_ Position/
.Depth
Mineralogy
,Color • Depth'(
f Slope%
(IN.)
Texture
Vcn- NsINP
3-�
C i -S
�4—As
53k z�ti 42 s15F
dO %
)L s /-Z F s
_,_yj C L -s J� the
t-140 55N c�Isc.i F2 S P
95 "
[ ] Other
Initial ystem
epair System
Other Factors (.1946): _
Description
'ORS '-
Classdication (.1948):PS
able Space (.1(945)
..1956
..1944
Profile..,,
.Saps
•Reser
class.` t
�.) Class
'- Hertz'
& LTAR
Others Present:
Initial ystem
epair System
Other Factors (.1946): _
Description
Classdication (.1948):PS
able Space (.1(945)
Site
IN NCV
,NNW
"o
Evaluated By: d\
em Type(s)
Others Present:
LTAR