OPHTE# )'2-5-ZO'ft Harnett County Department of Public Health
PERMIT 93-L Operation Papa 2 2 2 7 9
New Installation Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: 1ygg i ~
Name: (owner) SUBDIVISION LOT #
System Installer: 6' tj Registration #
Basement with plumbing: ❑ Garage E?r umber of Bedrooms 100 E',5
Type of Water Supply: ❑ Community L1 Public ❑ Well Distance from well feet
System Type: %-13 ° C-Z Types V and VI Systems expire in 5 years.
(in accordance with able V a) Owner must contact Health Department 6 months prior to expiration for permit renewal.
this system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization
NtKMII IUNDIIIUNS:
1. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
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.
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:
[I Conventional Other sr
is iS'°/a "a ~e,2c A_ Septic Tank: 100 4)
gallons Pump Tank: f 6 4-3
~ gallons
Subsurface
No. of
exact length width of
depth of
+
'
Drainage Field
ditches 7-
of each ditch feet ditches 3
a
feet ditches i4
inches
French Drain Required: linear feet
'2 Zq
Authorized State Ag Date - izr` r Z
~
r
-
y
°
12-5-28496 (1)
12-5-28496 (2)
12-5-28496 (3)
12-5-28496 (4)
12-5-28496 (5)
77
1
~
3
12-5-28496 (6)
12-5-28496 (7)
12-5-28496 (8)
12-5-28496 (9)
12-5-28496 (10)
r
°
y
-
,
12-5-28496 (11)
12-5-28496 (12)
12-5-28496 (13)
12-5-28496 (14)
12-5-28496 (15)
w_
12-5-28496 (16)
12-5-28496 (17)
12-5-28496 (18)
12-5-28496 (19)
12-5-28496 (20)
12-5-28496 (21)
12-5-28496 (22)
12-5-28496 (23)
12-5-28496 (24)
12-5-28496 (25)
12-5-28496 (26)
12-5-28496 (27)
i
f
f
~,t'
d'.
t~~
'-s
~
RAJ
\
~
)
4
A
x
low
tic,
1
F
f
'
r
1
,.d
r
7 t'
J
-
r
y.
t*.
1 _
f
i
4^
t
I{
MITI
i
h
a^d
4
IF ,N$!
Y
F
i'
6
t
3 A
l1
N Y,F:~
w~ 6 1
` 3g
t
~
veil
~
P<
k
F~
t
5 r r
F
w1
s
F' . _
fl ?
w
r
4
~
r
v
.
.
r
n s
K~ 3
k,
~
t' t
V 1~
~
t
s
I.
lir
F
d ~r
,
c
h
et
yy t t
`
tnb
D
~
t-
-a2 a;
n~
r
JF
b~tr
N
y ` F Jt ~
^.i
r
\
YjY
e
i
-
p
o"PRIP
_
I k
fi.
I
k
r~
IMIM
rm
"u5 s i
j
F
j
J
s
F
r~r
i~:
w 5h~ Y.
r
A E
x
Q
y
f
r
r
s
e
~'Td
1
i$
~ 1
e
1
1
E
"
f
a
~r
r
.s.
f
.r
f6
~
- -
{
i
Y~
ro C
n
Y
l
~r
{Y 1,
u
e
r e
1
~
t I
r
>r
q
F
F tl+ h~Y r
1
I
r
t ti
A.~
~X
~i far
J~