OPHTE# kS-UDS7 Harnett County Department of Public Health 24052
PERMIT # 288oZ_/ 0 er�atlon—Petmi-t
Ian New Installation LrJ Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION;&& ig4Q47110ays el,
Name: (owner) 'oaf' Liq�fcs / SUBDIVISION LOT # t °
System Installer: .++mss M Registration
Basement with plumbing: ❑ Garage Number of Bedrooms
Type of Water Supply: ❑ Community f� Public ❑ Well Distance from well feet
System Type: Z.5;% Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner m contact Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General
PERMIT CONDITIONS
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
for Sewage Treatment
all conditions of the Improvement Permit and Constroction Authorization.
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 ❑ 1,1201-ine
❑ PWR Line
Following are the
specifications for the sew disposal
system on the above captioned property.
Type of system:
ElConventional L�1 Other 7—e,1
0Au(,rlaA)
Septic Tank:/ d� gallons
Pump Tank: gallons
Subsurface
Drainage Field
No. of
ditches
exact length
of each ditch '74' feet
width of
ditches 3 feet
depth of
ditches L't-'519 inches
French Drain Required: Linear teet ff,^,^
Authorized State ST^ YV l i Date
yJ
r
mn-
16-5-38057
4 (1) 16-5-38057 (2) 16.5-38057 (3) 16-5-38057 (4) 16-5-38057 (5)
16-5-38057 (6) 16-5-38057 (7) 16-5-38057 (8) 16-5-38057 (9) 16-5-38057 (10)
R
16-5-38057 (11) 16-5-38057 (12) 16-5-38057 (13) 16-5-38057 (14) 16.5-38057 (15)
NNW