OPHTE#-/Z''-Z°i! Harnett County Department of Public Health
.S 7
PERMIT # Operation Per it 2 2 2 7 3
02 New Installation Septic Tank Nitrification Line El Repair El ExPansior
PROPERTY LOCATION: &.,413V tl ~
Name: (owner) /iCeT, SUBDIVISION j - LOT # 31
System Installer: kk~ Registration #
Basement with plumbing: ❑ Garage lif~ umber of Bedrooms -3
Type of Water Supply: ❑ Community rpublic ❑ Well Distance from well fe
System Type: ` °3, 17 a VI ~t s exp a in 5 years.
(In accordance with Table V a) O ner must contact Health Department 6 months prior to expiration for permit renewal.
Operation:
V. Other:
❑ D-Box ❑ Pump ❑ Alarm ❑ H20Line ❑ PWR Line
Following are the specifications for the sewage disposal system on the above captioned property.
Type of system: ❑ Conventional ❑ Other loj%- L 22952 W ptic Tank: 00 ~ gallons Pump Tank: k 66 gallons
Subsurface No. of , j exact length width of depth of
Drainage Field ditches 'Z of each ditch feet ditches feet ditches / --2q inches
French Drain Reauired: Linear feet
i-~ .
Authorized State ent Date 5 ' Lk°°'\
PERMIT CONDITIONS:
1. Performance: System shall perform in accordance with Rule .1961.
11. 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.
HTE# f Z _ 437 ~ ~rY1 Permit # 2 6 8 / 1
Harnett County Department of Public Health
Site Sketch
PROPERTY LOCATON
ISSUED T0:. Y EN I 11 l -S SUBDIVISION LOT #
Date: If ° f Z
00 ra~
613-