Loading...
OPHTE #-I'-/ — S -351'7R Harnett County Department of Public Health 23585 PERMIT # ZBZII Operation Pe mit a New Installation Septic Tank C� Nitrification Line ❑ Repair ❑ Expansion _ PROPERTY LOCATIO —&Z -Z 4-y5/!a7 le.6 Name: (owner) �J e-- �dyi re.. SUBDIVISION LOT # Z— System Installer: OWKS c-( cls Registration # Basement with plumbing: ❑ Garage Number of Bedrooms �5 Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet System Type: 15a 5 T ,0 es V and VI Systems expire in 5 years. (In accordance with Table V a) Owner must contact ealth Department 6 months prior to expiration for permit renewal. 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 seewwa disposal system on the above captioned property. Type of system: El Conventional LX Other t52io 0,eZt c �'2� �.. Septic Tank: /©C76 gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditches of each ditch SO feet ditches -3 feet ditches - 21 inches French Drain Required: Linear feet Authorized State Aggct <L-- Date '$—I 'I -ice d s, F 14-5-35178 (1) 14-5-35178 (2) 14-5-35178 (3) 14-5-35178 (4) 14-5-35178 (5) R i c zd 14-5-35178 (6) 14-5-35178 (7) 14-5-35178 (8) 14-5-35178 (9) 14-5-35178 (10)