OPHTE# -`S'" - 44,7-3 Harnett County Department of Public Health
PERMIT # 2&$505 j Operation Pe it 2 2 2 7 6
d New Installation Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:-st-i442 tt ` b
Name: (owner) SUBDIVISION ~r~ fsn, ,c LOT #
System Installer: r Registrations
Basement with plumbing: ❑ Garage Number of Bedrooms
Type of Water Supply: ❑ Community Y Public ❑ Well Distance from well feet
System Type: r " C` % G 02, Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner must cont ct Health Department 6 months prior to expiration for permit renewal.
Inis system has been instaued in
with apphcabl d Disposal, and all conditions of the Improvement Permit and Construction Authorization.
1 LI\1111 VVl\UIIIVIIJ.
1. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
System shall perform in accordance with Rule .1961.
As required by Rule .1961.
As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
❑ D-Box ❑ Pump ❑ Alarm ❑ H20Line ❑ PWR Line
Following are the specifications for the sewa disposal system on the above captioned property. 6 0
Type of system: El Conventional 5 Other Z5& 0-A f r%,4eptic Tank: C O's gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 2 of each ditch 66 feet ditches 3 feet ditches 'Z&-? inches
French Drain Required: Linear feet
Authorized State Date a ° Z5 -1 I,
-1 771,
-7-75 F
1
i
r
a
f -
-
F
I
12-5-28623 (6)
12-5-28623 (7)
12-5-28623 (8)
12-5-28623 (9)
12-5-28623 (10)
" I4
d^
.
,
12-5-28623 (1)
12-5-28623 (2)
12-5-28623 (3)
12-5-28623 (4)
12-5-28623 (5)
a
ye
1
F
H
V'
12-5-28623 (6)
12-5-28623 (7)
12-5-28623 (8)
12-5-28623 (9)
12-5-28623 (10)