Original IPACARY- CT COUNT' HEALTH DEPA TI J`TT
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Be it ordained by the Harnett County Board of Health as follows: Section III, Item B. "No Person shall begin construc-
tion 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) 41el~ AcxAEr New Installation tic Tank
Property Location: SR# 17 Repairs ~ Nitrification Line
Subdivision ww. . L 1 rd,1S Lot # q
Tax ID # / Quadrant #
Number of Bedrooms Proposed: Lot Size: X1.37
Basement with Plumbing: 0 Garage: 0
Water Supply: 171 Well Public 0 Community
Distance From Well: S o' 4. ft.
Following is the minimum specifications for sewage disposal system on above captioned property. Subject
to final approval.
Type of system: L'1 Conventional 17 Other, v-.-,Q
Size of tank: Septic Tank: lat)r) gallons Pump Tank: /000 gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches y of each ditch-60 ft. ditches_ _ft. ditches 2q" in.
French Drain Required: Linear feet
Date: '7-/7- 697
This permit is subject to revocation if site Signe
plans or intended use change. nvironmental Health Specialist
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HARNETT COUNTY DEPARTMENT OF PUnT,IC HEALTH
AU~AORIZATION TO CONSTr~JCT
Authorization is hereby given to construct a wastewater system to the specifications described by
Harnett County Department of Public Health, Improvement Permit # 4,7/$'Y . 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.
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Name -~c~ 3•~~~f
Ich phone #
Address
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Property Location SR#
Lot #
Road Name
# Bedrooms Proposed Lot Size
TYPE OF SYSTEM
[ New Installation [ ] Repair [ 41ePtic Tank [ itrification Lines
[ ] Conventional [ ther . to M 4
[ ] Basement [ ] With Plumbing [ ] Without Plumbing
Water Supply: [ ] Well [ ublic Water Supply Minimum Well Setback: Ft.
Septic Tank /"0 gal Pump Chamber ~O&D gal
NITRIFICATION FIELD SPECIFICATIONS
Number of fields # of lines per field Length of lines U Ft.
Width of ditches ..3 ft. Depth of ditches inches
French Drain: Linear feet required Depth of gravel
No wastewater system shall be covered or placed into use by any person until an inspec::I-
Harnett County Health Department has determined that the system has been installed acthe conditions of the Improvement Permit and that a valid Operations Permit has been iof Authorized Agent for Harnett County
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Date
FILE #
COMMENTS:
LANDSCAPE POSITIONS
GROUP
TEXTURES
.1955 LTAR
CONSISTEN
CE MOIST
WET
R-RIDGE
&SHOULDER SLOPE
I
S-SAND
1.2-0.8
L-LINEAR SLOPE
LS-LOAMY SAND
VFR-VERY FRIABLE
NS-NON-STICKY
FS-FOOT SLOPE
II
SL-SANDY LOAM
0
8
0
6
FR
LE
S
SLIGHTLY STICKY
N-NOSE SLOPE
L-LOAM
.
-
.
n;tM
FI-FIRM
-STIC
SSTICKY
A-BEAD SLOPE -
VFI
-VERY FIRM
VS-VERY STICKY
CC-CONCLAVE SLOPE
III
SI-SILT-
EFI-EXTREMELY FIRM
'NP-NON-PLASTIC
CV-CONVEX SLOPE
SIL-SILT LOAM
0.6-0.3
SP-SLIGHTLY STICKY
T-TERRACE
CL-CLAY LOAM
P-PLASTIC TIC
FP-FLOOD PLAN
SCL-SANDY CLAY LOAM
VP-VERY PLASTIC
SICL-SILTY CLAY LOAM
IV
SIC-SILTY CLAY
0.4-0.1
C-CLAY
SC-SANDY CLAY
STRUCTURE MINERALOGY
SG-SINGLE GRAIN SLIGHTLY EXPANSIVE
M-MASSIVE
CR-CRUMB EXPANSIVE
GR-GRANULAR
SBK-SUBANGULAR BLOCKY
ABK-ANGULAR BLOCKY
PL-PLATY
PR-PRISMATIC
i '
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department of Environment, Health, and Natural Resources
)ivision of Environmental Health
Dn-site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER. SYSTEM
Owner:
Address:
Proposed Facility:
Location of Site:
Water Supply:
Evaluation Method:
Type of Wastewater:
Design Flow (.1949):
[ ] Public [ ] Individual
[ ] Auger Boring
[ ] Sewage
Sheet:
Property ID:
Lot
File
Code:
Applicant:
Date Evaluated:
Property Size:
Property Recorded:
[ ] Well [ ] Spring
[ ] Pit [ ] Cut
[ ] Industrial Process Mixed
[ ] Other
P
R
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F
SOIL MORPHOLOGY
1941
OTHER
PROFILE FACTORS
1
L
E
1940
I, andsfape
Position/
~hpo
Horizon
Depth
(IN }
1941
Structure/
Texture
1941
Consistence
Mineratogv
1942
So=1
Wetness/
Color
.1943
Soil
Depth (;N
.1956
Sapro
Class
1944,
Restr
Honz
Profile
Class
& LTAR
l4 136
SCL
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z36''
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6 - /
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CaOL"'4 aN
3.
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~'6L
36,' °
T
Description
Initial Syste
' pi/
Repair Syst m
Available Space (.1945)
System Type(s)
p
J f
r
Site LTAR
,,3,r
Other Factors (.1946):
Site Classification (.1948):
Evaluated By:
Others Present: