OPHTE#nf'7 Harnett County Department of Public Health 24245
PERMIT #2847 f [/New
Operation Per It
[ New Installati c Tank EV/Nitrification Line ❑ Repair ❑ Expansion
2 PROPERTY LOCATION:./9Z% l�iofss�6« 'op
Name: (owner) i�r�ArrC_ SUBDIVISION LOT #
System Installer: — egistration #
Basement with plumbing: ❑ Garage umber of Bedrooms ,�S
Type of Water Supply: ❑ Community Public ❑ Well Distance from well feet
System Type: 1}ia_ VI Systems expire in S years.
(In accordance with Table V a) dwner must contact Health De rtment 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable Non Carolina General Smtbtes, Rules for Sewage Treatmi
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
E.
the Improvement Permit and Construction Authorization -
s2
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 ❑
H2O1-ine ❑ PWR Line
Following are the specifications for the sewwaa
disposal system on the above captioned property.
Type of system:
El Conventional L7 Other Z -s'16 i'ZbCTUL Septic Tank: /D O c7
gallons Pump Tank: gallons
Subsurface
No. of
3
exact length i 60 width of
rt„h�'
depth of e, ,
Drainage Field
ditches
of each ditch feet ditches
feet ditches 12-> fS inches
French Drain Required: Linear feet
Authorized State gent, Z %' ( Date
Ka
r
16-5-39147 (1) 16-5-39147 (2) 16-5-39147 (3) 16-5-39147 (4)
� .. Fe y .moi .e• :y
16-5-39147 (6) 16-5-39147 (7) 16-5-39147 (8) 16-5-39147 (9)
16-5-39147 (11)
16-5-39147 (5)
16-5-39147 (10)