OPHTE Q�c/ Harnett County Department of Public Health
24240
PERMIT # Z893`�0 eration Per It /
New Installation Septic Tank /Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION S ArA
Name: (owner) SUBDIVISION LOT #
System Installer: Registration #
Basement with plumbing: ❑ Garage f tuber of Bedrooms
Type of Wate ply: ❑ Commusll, Pu Iic ❑ Well Distance from well feet
SystTypes V and VI Systems expire in S years.
(In accorda able V a) Owner Health_ Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North (amiina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Immoremem Permit and Construction Authon:ation.
PERMIT CONDITIONS:
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
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System shall perform in a c a with Rule .1961.
As required by Rule .1961. tt II�
As required by Rule .1961. OthM
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 sewjBe disposal system on he above captioned property.
Type of system: ❑ Conventional C3 Other 1$�fi%S1;y6s4Zda Septic Tank: /2 gallons Pump Tank: gallons
Subsurface No.of exact length width of depth of
Drainage Field ditches �J of each ditch feet ditches feet ditches ZZ-)fo inches
French Drain Required: Linear feet
Authorized State A90L���, J—�ig � - ' Date -7`6
L
16-5-38321(1)
16-5-38321 (2)
16-5-38321 (3)
16-5-38321 (6)
16-5-38321 (11)
16-5-38321 (7)
16-5-38321(8)
r
16-5-38321 (4)
16-5-38321 (5)
16-5-38321 (9)
16-5-38321(10)