OP & IPAC - originalHARNETT COUNTY HEALTH DEPAT'MENT
ENVIRONMENTAL HEALTH SEI ON No- 11914
OPERATIONS PERMIT
Name: (owner) -X6K)A
Zf ,. OIF 5
UrNew Installation
0 Septic Tank
Property Location:
SR# JS -S-3 4Z�r-,7-' D*k
❑ Repairs
O Nitrification Line
Subdivision 6a2c, 1-0—pf S Lot #
TAX ID# Quadrant #—
Contractor: &qr elftZe Registration #
Basement with Plumbing: ❑ Garage: ❑
Water Supply: ❑ Well (Public ❑ Community
Distance From Well: Jib ft.
Following are the specifications for the sewage disposal system on above captioned property.
Type of system:
Size of tank:
Subsurface
Drainage Field
French Drain:_
PERMIT NO.
econventional I' Other
Septic Tank: /A20 gallons Pump Tank: gallons
No. of exact length width of depth of
ditches 3 of each ditch L ft. ditches 3 ft. ditches 6Fs-L/ in.
.1 Linear feet
HARNETT COUNTY HEALTH DEPARTMENT
IMF ;OVEMENT PERMIT
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) olLwr60"NewInstallation OSepticTank
Property Location: SR# / S ❑ Repairs 13 Nitrification Line
Subdivision G2 -o– f z1in5 Lot #.
Tax ID # Quadrant #
Number of Bedrooms Proposed: 17c
Basement with Plumbing: ❑
Water Supply: ❑ Well ❑' Public
Distance From Well: Sb ft.
Lot Size: / 06
Garage: ❑
❑ Community
Following is the minimum specifications for sewage disposal system on above captioned property. Subject to
final approval.
Type of system: atonventional ❑'"Other
Size of tank: Septic Tank: gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 3 of each ditch 7 ft. ditches 3 ft. ditches zy in.
French Drain Required: Linear feet
Date: 6 • 7 w _ S `7
This permit is subject to revocation if site sl Sa
_ .__Signed: - n
plans or intended use Chan !e�— environmental Health Specialist
Sr ; "t5,3
r
:.y
HARNETT COUNTY HEALTH DEPARTMENT
AUTO, jRIZATION TO CONS . RUCT
Authorization is hereby given to construct a wastewater system to the specifications described
by Harnett County Health Department Improvement Permit # _(_a �) j [ . 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.
Owner or Authorized Agent _7mky T;l 66ahj
Name: 1-9n rnl F Tax1 P 5 Telephone # Fr3 - .I662.
Address:
Property Location: SR # /S 5 3 Road Name /s✓x 6?4-k
New Installation ' Repair Septic Tank Nitrification Lines
Subdivision _C _ ICs�rsa'�� Lot # l "
Number of Bedrooms Proposed: _3 _
Basement
Water Supply: Well
With Plumbing
Type of System: Conventional
Lot size:
Without Plumbing
Public � Minimum Well Setback:
Other 3�j Fc /-,<n.� .
ft.
Tank Volume: Septic Tank 6i!;In_ gallons Pump Chamber gallons
Number of fields Number of Lines per Field C Length of lines
Width of ditches -3 ft. Depth of ditches I � - 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.
Authorized Agent for Harnett County Health Department
Name: /YYJ, I 1 1aWIAI tli Date: Cr- � (r' - C(
(Revised 2/96)CNsrxCT.arnD