IPAC valid until 7-17-2013HARNETT COUNTY HEALTH DEPARTMENT
HTE d4--5_-1?rZ3 IMPROVEMENT PERMIT 22154
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." O' New (owner) 5i a._A1 L I'
,~l~i~ New Installation 011& tic Tank
Property Location: SIZ# . 0 Repairs ~ Nitrification Line
Subdivision 2WWMw -'r,5 Lot #
Tax ID # Quadrant #
Number of Bedrooms Proposed: Lot Size: q. 37-oft r.•
Basement with Plumbing: Garage:
Water Supply: 0 Well Public 0 Community
Distance From Well: t:-O- 4- ft.
Following is the minimum specifications for sewage disposal system on above captioned property. Subject
to final approval.
Type of system: Conventional I~ Other, /1' 4,jz~ Z$' -o
Size of tank: Septic Tank:-,(per gallons Pump Tank: Of oo gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches y of each ditch 60 ft. ditches-J, --ft. ditchesa `in
French Drain Required: Linear feet
Date: 72-17 - 69'
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vironmental Health Specialist
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HARNETT COUNTY DEPARTMENT OF PUBLIC HEALTH /4.1? 4-1-V
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 # 4215 1/ . 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.
Name Telephone #
Address
C. fyip
/S3 'Z- Co
Property Location SR# Road Name
Subdivisio Lot # # Bedrooms Proposed Lot Size
TYPE OF SYSTEM
[ New Installation [ ] Repair [ eptic Tank itrification Lines
[ ] Conventional [ ther V I,, r
[ ] Basement [ ] With Plumbing [ ] Without Plumbing
Water Supply: [ ] Well [ ublic Water Supply Minimum Well Setback:
Septic Tank /00t? gal Pump Chamber ` gal
NITRIFICATION FIELD SPECIFICATIONS
Number of fields 2 # of lines per field Length of lines S U Ft.
Width of ditches 3 ft. Depth of ditches ihches
French Drain: Linear feet required 01- 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.
Si'G e of Authorized Agent for Harnett County
Date
SL 2009-406
Effective Aug 5, 2009
Prior to Jan. 1, 2003
Expired
On-Site Wastewater Permits Issued I
After Jan. 1, 2003 but
before Jan. 1, 2008
Permit extended for 3
years
On or after Jan. 1, 2008 and
through Dec. 31, 2010
Permit valid through
Dec. 31, 2015,
regardless of issuance
date
I On-Site Wastewater Permits Expired/Expires I
Prior to Jan. 1, 2008
I On or after Jan. 1, 2008 and I
through Dec. 31, 2010
On or after Jan. 1, 2011
Permit valid for five
years from issuance
date
After Jan. 1, 2011
Permit valid through Jan. 1, Permit valid for five years from
Expired 2011 plus time remaining (in issuance date, plus the # of
days) as of Jan. 1, 2008. days between Jan. 1, 2008 and
Dec. 31, 2010 permit was valid