OPHTE# /( S- idlll Harnett County Department of Public Health
24190
PERMIT # 2e?z_7 0 eration Pe mit
EJ New Installation Septic Tank 2/Nitrification Line ❑ Reoair 11 F.nansinr
PROPERTY LOCATION: y
Name: (owner) co r / QA�GS ;/Q _ �SUBDIVISION �jtcZcJS I/,l(a.,, LOT #
System Installer. Arm Registration # �_
Basement with plumbing: ❑ Garage � umber of Bedrooms --
Type of Water Supply: ❑ Community G2"Public ❑ Well Distance from well feet
System Type: 5% a TQ c f -_'Z Types V and YJ Systems expire in S years.
(In accordance with Table V a) ( Owner must con e e artment 6 months prior to expiration for permit renewal.
has been installed in compliance with applicable sort Carolina General Statutes, Rules for
Pkb
PERMIT CONDITIONS
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
treatment
and Disposal, and all condifi s of the
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.
Permit and Construction Authorisation.
14 it (,T -.'r -
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❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewage disposal system on the above captioned property.
Type of system: ❑ Conventional Q" Other` L ity --Z3Tr— Septic Tank: I D gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage field ditches of each ditch Q D feet ditches 3 feet ditches Pill inches
French Drain Required: Linear feet
Authorized State Date -1- Z"o_
. I
r r;
^ � c
16-5-38111(1) 16-5-38111 (2) 16-5-38111(3) 16-5-38111 (4)
16-5-38111(6) 16-5-38111 (7) 16-5-38111 (8) 16-5-38111 (9)
iw1
16-5-38111 (5)
16-5-38111 (10)
16-5-38111 (11)
16-5-38111 (12)
16-5-38111 (13) 16-5-38111 (14)
16-5-38111 (16) 16-5-38111 (17) 16-5-38111 (18)
16.5-38111 (15)