OPNTE# -5-- 21,17 0 Harnett County Department of Public Health 2 0 9 0 3
PERMIT # 251 `f3 /Operation Pe lt
Lit New Installation C✓~ Septic Tank ❑ Repair [/Nitrification line ❑ Expansion
PROPERTY LOCATION: ~
Name: (owner) SUBDIVISION LOT # "
System Installer: dTr-r- 5 6~ Registration #
Basement with plumbing: ❑ Garage Number of BOW=
Type of Water Supply: ❑ community ❑ Public V Well Distance from well &V feet
System Type: X r Gzo-t- 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 Carolina General Statutes. Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and construction Authorization.
00
4e'vir'o
1110
/06
GJ1 L._
t~
t we r
o n ~
fP'K c~
~
~/M 15
M
lz
~
PERMIT CONDITIONS:
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
System shall perform in accordance with Rule .1961. w' L-. +
As required by Rule .1961. -fA'
As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
nafl
Following are the specifications for the sew disposal system on the above captioned property.
Type of system: ❑ conventional Other Zt5 Bt o iz&.6,,crid~.S Septic Tank: /ooh gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches _ z of each ditch / 7- feet ditches 3 feet ditches 16 - Zt,,' inches
French Drain Required: linear feet
Authorized State A Z
Date Z/ -13 - /0
o
c'
3
~ w
04
`O
"~4 e 'fit 'S'r`P' l r ~ •.1T~" , ~ ~ ~ i'-...,
~ r v v n
s
i i
F ~w
v
,
„m
4261
x
a ,
i ~~r: t x ~ s z"
_ h ~Ku
N
~t
l fy
V
t
f ice. .l~ ~ ~ ~}jf QY' .....-,.y"•-~
v
1 v
j~
n,« M
v ~
t
s
w
4 ?
rte' !Jff43'«r?x `Xi.na
Y
711
i
OR t Al
Y. ,
'*11 ~