OPHTE# /'Z -; - :K_4Z_Z
Harnett
County Department of Public Health
PERMIT # Z 709 Z
Operation Per It
hed sheet for additional operation conditions, maintena ce and r
orting.
2/ Nitrification
[?/New Installation Septic Tank Li' Nitrification Line ❑
Repair ❑ Expansion
PROPERTY LOCATION �Z_,Dr 7 Z�Ac lZ.b
Name: (owner)
C_ i
SUBDIVISION
LOT #_
System Installer: 1 V ejy
—I—Z)
Registration #
Basement with plumbing: ❑
Garage d Number of Bedrooms _3___
Type of Water Supply: ❑ Commun'
feet
System Type: 2 5% iWf b
,d
Eldc, 15- ypes V an VI Systems expire in 5 years.
(In accordance with Table V a)
Owner h Dep Itment
6 months prior to expiration for permit
renewal.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules
W
x Ilkm
and all conditions of the Improvement Permit and Construction Authorization.
PERMIT CONDITIONS:
1. Performance:
11. Monitoring:
III. Maintenance:
System shall
As required b
As required b
Subsurface syst
rform in accordance with Rule . 61.
Rule .1961.
Rule .1961. Other:
operator required? Yes ❑ No ❑
If yes, see att
hed sheet for additional operation conditions, maintena ce and r
orting.
IV. Operation:
V. Other:
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the seewway disposal system on the above captioned property.
Type of system: ❑ Conventional Lg Other 1:'%00JUU -4 Septic Tank: / &® gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of .
Drainage Field ditches Z- of each ditch feet ditches feet ditches ? 'Z-2(6 -1 inches
French Drain Required: Linear feet
Authorized State Aq nt Date
12 -5 -29662 (1)
12 -5 -29662 (2)
12 -5 -29662 (3)
12 -5 -29662 (4)
12 -5 -29662 (5)
12 -5 -29662 (6)
12 -5 -29662 (7)
12 -5 -29662 (8)
12 -5 -29662 (11) 12 -5 -29662 (12) 12 -5 -29662 (13)
12 -5 -29662 (9)
12 -5 -29662 (10)