OP RHTE#_/ -3 " E_ AZ Harnett County Department of Public Health
PERMIT # Z7387. / Operation Per it 22982
O/ Installation E Septic Tank 0 Nitrifcation Line ❑ Repair ❑ Expansion
PROPERTY LKATIOW /c /s-7
Name: (owner) �•�i�G�� l3u� /cue cs I•�c, SUBDIVISION �14qda(,zj P-7_x-t--- LOT # 30
System Installer: Registration #
Basement with plumbing: ❑ Garage mber of Bedrooms ,3
Type of Water Supply: El Community Public ❑ Well Distance from well feet
System Type: 7� _fT r Types V and VI Systems expire in 5 years.
(In accordance with able V a) Owner must contact Ham$ pa meant 6 months prior to expira ion f r permit renewal.
This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treat ent and Disposal, and all conditions of the Improvement P rmit and Construction Authorization.
3
s
18' SR
b 1�$
R
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PERMIT CONDITIONS:
I. Performance:
System shall perform in accordance with Rule .1961.
11. 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:
❑
D -Box ❑ Pump ❑
Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sews disposal system on the above captioned property.
Type of system: ❑
Conventional Other 25 %,,2�Lw 0'�
4--- Septic Tank: / d�O gallons Pump Tank: 1010 gallons
Subsurface
Drainage Field
No. of exact length
ditches 3 of each ditch
11 width of depth of
W feet ditches feet ditches 2c 1 �� inches
French Drain Required: Linear feet
Authorized State Ag Z A-- 1 0 - 1 1 ^ r?,
13 -5 -31121 R (1)
13 -5 -31121 R (2)
13 -5 -31121 R (3)
13 -5 -31121 R (4)
13 -5 -31121 R (5)
13 -5 -31121 R (6)
13 -5 -31121 R (7)
13- 5- 31121R (8)
13 -5 -31121 R (9)
13 -5 -31121 R (11)
13- 5- 31121R (12)
13 -5 -31121 R (13)
13 -5 -31121 R (14)
13- 5- 31121R (10)