Loading...
OPHTE# Fs-s��,� Harnett County Department of Public Health 24192 PERMIT# Zaf696 /0 eration Permit New Installation Y Septic Tank IV Nitrification Line ❑ Repair ❑ Expansion PROPERTY LOCATION:a4/ Name: (owner) NG SUBDIVISION P—,m2?� LOT # ,3 System Installer: ST /A Registration # Z-76 it Basement with plumbing: ❑ GarageNumber of Bedrooms Type of Water Supply: ❑ Community [Public ❑ Well Distance from well feet System Type: —.Ul G L'C-Types V and VI Systems expire in S years. (In accordance with Table V a) Owner must co ct Health Department 6 months prior to expiration for permit renewal. This system has been installed in compliance with applicable North Carolina General statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and tonstmnion duthormaaon. 1c, p IS sem' PERMIT CONDITIONS I. Performance: 11. Monitoring: III. Maintenance: IV. Operation: Other. 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 sews disposal system on the above captioned property. Type of system: El [3' Z9 Other 6 /mob U C T' 11 Septic Tank: /000 gallons Pump Tank: gallons Subsurface No. of u exact length_ %S feet width of ditches 3 feet depth of �t ditches Z V inches Drainage Field ditches / of each ditch - French Drain Required: Linear feet Authorized State Date 1::?71 15-5-37472 (1) 15-5-37472 (2) 15-5-37472 (3) 15-5-37472 (4) 15-5-37472 (5) r l 15-5-37472 (6) 15-5-37472 (7) 15-5-37472 (8) 15-5-37472 (9) 15.5-37472 (10) mmmr 15-5-37472 (11) 15-5-37472 (12) 15-5-37472 (13) 15-5-37472 (14) 15-5-37472 (15) 15-5-37472 (16) 15-5-37472 (17) 15-5-37472 (18) 15-5-37472 (19)