OPHTE# Harnett County Department of Public Health
24175
PERMIT # 2505$ Operation Per it
Cd' New Installation Septic Tank LJ' Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: crud CA" _tuaa & jPn=XR AZ
Name: (owner) Mian �� S.sL SUBDIVISION LOT # �_
System Installer: 1 s:<11P Registration #
Basement with plumbing. ❑ Garage umber of Bedrooms _3
Type of Water Supply: E:1Community LY—/ Public ❑ Well Distance from well feet
System Type: T Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner mush ct Health Department 6 months prior to expiration for permit renewal.
this system has been installed In compliance with applicable North Camlina General Statutes. Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Conmuctsm Authorization
PERMIT CONDITIONS
I. Performance:
11. 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.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sew�gE disposal system on the above captioned property.
Type of system: 13 Conventional [+7 Other :ZSrd%j2 j>U C - tU - Septic Tank: 1 00 6 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches 2 of each ditch / ' u feet ditches S feet ditches 22 inches
French Drain Required: Linear feet,,
Authorized State Agelt��G a/`lA
,.G. Date - "7
16-5-38382 (1) 16-5-38382 (2) 16-5-38382 (3) 16-5-38382 (4) 16-5-38382 (5)
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16-5-38382 (6) 16-5-38382 (7) 16-5-38382 (8) 16-5-38382 (9) 16-5-38382 (10)
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16-5-38382 (11) 16-5-38382 (12) 16-5-38382 (13) 16-5-38382 (14) 16-5-38382 (15)
1. 01 NEW
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16-5-38382 (16) 16-5-38382 (17) 16-5-38382 (18) 16-5-38382 (19) 16-5-38382 (20)
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16-5-38382 (21) 16-5-38382 (22) 16-5-38382 (23) 16-5-38382 (24) 16-5-38382 (25)
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16-5-38382 (26) 16-5-38382 (27) 16-5-38382 (28) 16-5-38382 (29)` 16-5-38382 (30)
16-5-38382 (31) 16-5-38382 (32) 16-5-38382 (33) 16-5-38382 (34) 16-5-38382 (35)