OP RRHTE# 0-7-- J-7 5ZZIZ;z Harnett County Department of Public Health
PERMIT # ~7 Operation P xtTtit 2 2 0 7 5
LJ New Installation Septic Tank /Nitrification Line El Repair El ExPansior
PROPERTY LOCATION: IJPZ_
Name: (owner) ~ > SUBDIVISION t,311~ LOT #
System Installer: Imo ~ TA--x- Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms .3
Type of Water Supply: ❑ Community Public El Well Distance from well feet
System Type: Z /z~ ~7 5 f k C Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal.
PERMIT CONDITIONS:
1. Performance: System shall perform in accordance with Rule .1961.
II. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other:
❑ D-Box ❑ Pump ❑ Alarm ❑ H20Line ❑ PWR Line
Following are the specifications for the sews disposal system on the above captioned property.
Type of system: ❑ Conventional Other Z 0(fA~i -2 irn46- Septic Tank: l47&Q gallons Pump Tank: gallons
Subsurface No. of t~ exact length pIwidth of depth of g6
feet ditches Z6 inches
.3
Drainage Field ditches ( of each ditch told' feet ditches
French Drain Required: Linear feet
Authorized State A Z J~Y~~ up ~ Date )ts - 2A 1
07-5-17922RR (1) 07-5-17922RR (2) 07-5-17922RR (3) 07-5-17922RR (4) 07-5-17922RR (5)
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07-5-17922RR (11)
07-5-17922RR (12) 07-5-17922RR (13)
07-5-17922RR (14)
07-5-17922RR (15)