OPNTE# fs 2;-- 3(. -7S Harnett County Department of Public Health 23898
PERMIT # 295'5t O.peration Permit
0' New Installation C]'�Septic Tank Ei�'Nitriffcation Line ❑ Repair ❑ Expansion
PROPERTY LOCATION -&L 7015—
Name: (owner) L:L,-- --4A-. 42 Ars---a _,� SUBDIVISION LOT # 7 --
System
System Installer: XD Registration #
Basement with plumbing: ❑ Garage ember of Bedrooms .3
Type of Water Supply: ❑ Community 14 Public ❑ Well Distance from well feet
System Type: I +y '7 i B es - and III Systems expire in 5 lipars
(In accordance with Tab V a) I it?, Owner must contact He Ith Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable Koo Carolina Ge)itrxl Staolles, Ittill,y for Sciage Treatment and Disposal, and all conditions of the Imp
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
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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.
and Construction Authorization.
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❑
D -Box
❑ Pump ❑
Alarm ❑ H2OLine ❑ PWR Line
Following are the
specifications for
the sewa disposal system on the above Captioned property.
Type of system:
El Conventional
Other
Septic Tank: / Do—e gallons Pump Tank: gallons
Subsurface
No. of
exact length
Lf
width of depth of r
Drainage Field
ditches
of each ditch &0 feet
ditches 3 feet ditches Lz:) inches
French Drain Required: Linear feet
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Authorized State 'f - Zu -
cat / � � Date IG
7
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'7 �r
15-5-36675 (1) 15-5-36675 (2) 15-5-36675 (3) 15-5-36675 (4) 15-5-36675 (5)
LOV
15-5-36675(6) 15-5-36675(7) 15-5-36675 (8) 15-5-36675 (9) 15-5-36675(10)
~l
15-5-36675 (11) 15-5-36675(12) 15-5-36675(13) 15-5-36675(14) 15-5-36675(15)
f
-17
-y.
15-5-36675(16) 15-5-36675(17) 15-5-36675(18) 15-5-36675(19) 15-5-36675(20)
15-5-36675 (21)