IPACHARD hT COUNTY HEALTH DEPARTM( T No p
IMPROVEMENT PERMIT
Be it ordained by the Harnett County Board of Health as follows: Section IIl, 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 obtaini a written permit
from the Harnett County Health Department."
Name: (owner)New Installation S is Tank
Property Location: SR#~-~Z x~c ~J ❑ Repairs Nitrification Line
Subdivision
Tax ID
Quadrant #
Number of Bedrooms Proposed:
Basement with Plumbing:
Water Supply: ❑ Well
Distance From Well:
ft.
Lot Size:
Garage: ❑
❑ Community
Lot # I
Following is the minimum specifications for sewage disposal system on above captioned property. Subject to
final approval.
Type of system: [Conventional ❑ Other
Size of tank: Septic Tank: 00 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch _70_ ft. ditches ft. ditches fY- A4 - in.
French Drain Required: Linear feet
Date: ` 30 & 2 -
This permit is subject to revocation if site
Signed: - 1..
plans or intended use change. ~i Environmental Health Specialist
❑
❑ Public
j=oz-s = Y~('Fi
HA ,TT COUNTY HEALTH DEPARTMEN'
AUTHORIZATION TO CONSTRUCT
Authorization is hereby given to construct a wastewater system to the specifications described by
Harnett County Health Department, Improvement Permit # Allf z . 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.
Property Location SR#
Subdivision
Lot #
3 6 -eyv
Road
Proposed Lot
TYPE OF SYSTEM
[ /New Installation [ ) Repair [ Septic Tank [ Nitrificiation Lines
[ Conventional Other [ ]Basement [ I With Plumbing[ ] Without Plumbing
Water Supply: [ ] Well [t,~Public - Minimum Well Setback: Ft.
Septic Tank Pump Chamber
NITRIFICATION FIELD SPECIFICATIONS
Number of fields Z. # of lines per field T Length of lines 764 Ft.
Width of ditches J R. Depth of ditches 1.1 • Z Z inches
French Drain: Linear feet required -_Depth of gravel
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.
of Authorized Agent for Harnett County Date