OPHTE# ly Harnett County Department of Public Health 23331
PERMIT # Z-7 8(-S Operation Per t
Q New Installation Septic Tank Line ❑ Repair ❑ Expansion
PROPERTY LOCATION? Zzis
Name: (owner) b2G /A~_s _zwc. SUBDIVISION Qvrr—,t Err LOT #
System Installer: Jgsa>J r>14t+ ->` Registration #
Basement with plumbing: ❑ Garage 21umber of Bedrooms 4
Type of Water Supply: ❑ Community ZPublic ❑ Well Distance from well feet
System Type: 25'/ gf Nj s i ne-a! G 4n cam, 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.
Ihis 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
PLKMII LUNUIIIUM:
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
r5U
4
Er
tJ�
cTo '
C
1>a "L
J
yo� F
ka g (r ak ssp rt'e -�
System shall perform in accordance with Rule .1961.
As required by Rule .1961.
As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
❑ D -Box ❑ Pump ❑ Alarm ❑ 1-12O1.ine ❑ PWR Line
Following are the specifications for the seewwaa a disposal system on the above captioned property.
Type of system: El (onventional ld Other ZV,IL, -1>0Lc c)—J J-r-- Septic Tank: JA4 a gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 2- of each ditch JS" feet ditches 3 feet ditches 24 >J8 inches
French Drain Required: Linear feet
Authorized State Aa�g -- Date —7 —)D --Iq
2ik'i„
"
ll \1}
1-
n
i
"
t
�Yt^1
x
R
t
t
r t
'
14 -5 -33465 (2)
14 -5 -33465 (3)
14 -5 -33465 (4)
14 -5 -33465 (5)
14 -5 -33465 (6)
14 -5 -33465 (26)
=,r
�
s
a
14-5-33465(7)
14 -5 -33465 (8)
14 -5 -33465 (9)
14-5-33465(10)
14-5-33465(11)
2ik'i„
t
x i k
"
ll \1}
1-
n
i
"
�Yt^1
x
w
r t
rr
nrr.m .4 +
14 -5 -33465 (22)
14 -5 -33465 (23)
14 -5 -33465 (24) 14-5-33465(25)
14 -5 -33465 (26)
t
x i k