OP RHTE#0"1-:> Harnett County Department of Public Health 2 0 4 5 9
PERMIT # x512 Operation _Pe Permit ,g
O New Installation l~ Septic Tank ❑ Repair ❑ Nitrification Line ZExpansion
PROPERTY LOCATION;Sg/-Jy3K~P/~ .?-b
Name: (owner) /~/Z A l L( BDIVISION LOT #
System Installer. s Registration #
Basement with plumbing: ❑ Garageumber of Bedrooms
Type of Water Supply: ❑ Community L ❑ Well Distance from well feet
System Type: fib. Cus~J r~i1 d AIWA L~ 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.
This system has been installed in compliance with applicable North arolina General Statutes, Rules for Sew ewge Treatmen and pos
the Improvement Permit and Construction Authorization.
4-10
l
v
PERMIT CONDITIONS:
1. Performance:
ll. Monitoring:
111. Maintenance:
IV. Operation:
V. Other.
P
0,-1
,FX LTiJ'6S
System shall perform in accordance with Rule .1961. Sj~ `/U3
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.
`x IPM, S
Following are the sp fications for the sewage disposal system on the above captioned property
Type of system: Conventional ❑ Other
Subsurface No. of exact length
Drainage Field ditches X of each ditch r X feet
French Drain Required: Linear feet
z
V~
/i 'r, 0
Septic Tank: /00 gallons Pump Tank: -
width of depth of
ditches rZ,A feet ditches
gallons
inches
Authorized State A Date 'k/- --"'-v9
~Y 4 i LJ` ~ ~ ~ ! T
if ~ ~ ~ tit ~ x I L4 +iL Y "
w f i ~
1 ~ S ~Pd Y Y 4.
yy E
• 8 '4
{
r
1
K
141,
t.
f ~ -td *iT .b '
•t j t ~ f F
40
w ~ 5 i d' a
s
~ W
P ♦ 4 ~ +A 7
Jf I
T
f`
Y ~ ~ y
TT
}R
fi
L j /Y • f{ - ~ ~ Y 1
1 t
&"is
~ ~ b 'T V~a
t r`f
1t L ~ 'w
~ v
f~ I ~ . ~h ~ t
S ..T
f:
3
~1 ~ ~
~ ~
f
~4 X- / R J'
~ ~
~
~
fit^~ A ash' ~r d~~,'f°' ; 7
ri. ~
s~F - j~` 3, t _ ~ ~ a 1 ~
~ t ~
r
I`
g_
< 3tc ~ w