OPHTE# j2 -sr- ���� Harnett County Department of Public Health
PERMIT # Z -710 —f Operation Per It 2 2 4 7 5
L New Installation Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: zu
Name: (owner) ac SUBDIVISION _LOT # t S'
System Installer: Registration #
Basement with plumbing:
El
mber of Bedrooms
Type of Water Supply: El Community Public I I Well Distance from well feet
System Type: Z06 "Z.dy -i, Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Ow er must contact Health Department 6 m nths prior to expiration for permit renewal.
This system has been installed in compliance with applicable North faroli Gener Stat tes, es Sewage Treatment and Disposa,111 all co ditions of the Improvement Permit and Construction Authorization.
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PERMIT CONDITIONS:
I. 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 ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewage disposal system on the above captioned property.
Type of system: ❑ Conventional Eir Other 2,�% Septic Tank.11LP0 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of �t
Drainage Field ditches of each ditch � 0 feet ditches 3 feet ditches 24 inches
French Drain Required: Linear feet
Authorized State Age 44 Date j 1 - Zt ° 12-
12 -5 -29838 (1)
12 -5 -29838 (2)
12 -5 -29838 (3)
12 -5 -29838 (4)
12 -5 -29838 (5)
12 -5 -29838 (6)
12 -5 -29838 (7)
12 -5 -29838 (8)
12 -5 -29838 (9)
12 -5 -29838 (10)