OP RRHTE# 0 - s -1x8 4 /Z/Z Harnett County Department of Public Health 2 0 9 0 0
PERMIT # z s Y3t. -Operation Pleymit
L~ New Installation LJ Septic Tank ❑ Repair Nitrification Line ❑ Expansion
PROPERTY LOCATIONS t?ts ~
,tr., t2 2A
Name: (owner) X11 3c SUBDIVISION rh~,,,,,LOT # z6
System Installer: o Registration #
Basement with plumbing. ❑ Garage Number of Bedrooms
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
System Type: ZS"9ro aorpocT LsQ a-~ Tye AIF C- OZ7~ Types V and VI Systems expire in 5 years.
(In accordance with Table V a) izo' rAgwm-must contact Health De artment 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable No Carolina General Statutes, Rules
iJA-EAS tom/ L 4- PIL
W/L 4- /~/t z,►~NfGr~ ~pI'
N
-l e-~
Ve
~ 41,
~v ~
PERMIT CONDITIONS:
I. Performance: System shall perform in accordance with Rule .1961.
II. Monitoring: As required by Rule .1961.
111. 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.
V
f57" ~JGrED -7,11 '10
Following are the specifications for the sews disposal system on the above captioned property.
Type of system: ❑ Conventional Other Zs"D/. 2GDUc n e`~J Stist-& Septic Tank: ► O O O gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches Z of each ditch feet ditches feet ditches LD -2/(. inrhac
rent ram Required: linear feet
Authorized State A o- ~
ge Date - -2=y-16
wage Treatment and, Disposal, and all c+ditions of the Improvement Permit and Construction Authorization
r to
2' ~ F=vt( STb9,44, e- bJr S
b K.
1Z
W Vic- L1,., C-
~F,g~ fir, r3/'
R.4- /Z c*r.-L,
4
x . < t
1
+
` Atn, 2 1
t
- ~ s r T ~ ~T~ • I
x
yp
V TWO.
O
a ~
.r
V _I i` S
A~~
r.
g 1
2 r^t7 , 1 d o
u ~ F i~~n f Z ~Tr i p TC t..
r
c t.
lei,
z
r W
7:1 Y"7
tai
Vii
by
w
i j
AVO
' 2 ?
e IIr,~ r
All 16
brax # * y_
4 A` a
41,, .
i
"mil a'F Ys.
Ak~
, 4Z
t ~ 'x
Me .r. w
VIM