OP RHTE #14 -� - 336r Harnett County Department of Public Health 23337
PERMIT # Z'7'1 y Operation Perl It
Li" New Installation Septic Tank LJ' Nitrification line ❑ Repair ❑ Expansion
PROPERTY LOCATION: 91 Z215" 1P" RA
Name: (owner) Awr�lo' ,�. 4a e. SUBDIVISION I)IM /Ear_ c -4-,'- LOT # —T
System Installer: ) rvw^ rs Registration #
Basement with plumbing: ❑ Garage Rl�Number of Bedrooms 3
Type of Water Supply: ❑ Community I "Public ❑ Well Distance from well feet
System Type: ZC% 7;y C�. V and VI Systems exp a in 5 years.
(In accordance with Table V a) Owner must contact He h Department 6 month 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 conditi*s of the Improvement Permit and Construction Authorization
PERMIT CONDITIONS:
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
ayt 'Z24 5—
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 ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewav disposal system on the above captioned property.
Type of system: ❑ Conventional Other Septic Tank: 1 0 ° v gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 3 of each ditch feet ditches 3 feet ditches inches
French Drain Reouired: Linear feet
Authorized State ALT '"` Date
14 -5 -33035 (2) 14 -5 -33035 (3) 14 -5 -33035 (4) 14 -5 -33035 (5) 14 -5 -33035 (6)
14 -5 -33035 (7) 14 -5 -33035 (8) 14 -5 -33035 (1)