OPHTE #( -,5-13 34- fr Harnett County Department of Public Health 23188
PERMIT # 7-77 `f 7 0 eration Per It ,
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/New Installation Septic Tank L3' Nitrification Line ❑ Repair ❑ Expansion
/ PROPERTY LOCATION: - ' 1535
Name: (owner) ! 1- -, 'R SUBDIVISION LOT #
System Installer: n - Registration #
Basement with plumbing: ❑ Garage 2" tuber of Bed ms
Type of Water SuppX: El Community Public Well Dis ce from well feet
System Type: 5fT,oc: Coo 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
osal, nd I conditions of the Improvement Permit and Construction Authorization.
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PERMIT CONDITIONS:
I. Performance: System shall perform in accordance with Rule .19
11. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation ct
IV. Operation:
V. Other:
❑ D -Box ❑ Pump ❑
Following are the spe ications for the sewage disposal system on the above captioned property.
Type of system: Conventional ❑ Other
Subsurface No. of exact length
Drainage Field ditches 3 of each ditch feet
and reporting.
Alarm ❑
H2OLine ❑
PWR Line
Septic Tank: Ions Pump Tank: gallons
width of depth of
ditches 3 feet ditches Z—
inches
French Drain Required: Linear feet
Date
Authorized State ent
14 -5 -33055 (1)
14 -5 -33055 (2)
14 -5 -33055 (3)
14 -5 -33055 (4)
14 -5 -33055 (5)
14 -5 -33055 (6)
14 -5 -33055 (11)
14 -5 -33055 (7)
14 -5 -33055 (8)
14 -5 -33055 (9)
14 -5 -33055 (10)