OPHTE#/(e- r--38ROO
PERMIT # Z82"
Name: (owner) �.``^'
System Installer.
Basement with plumbing: ❑ Garage
Type of Water Supply: ❑ Community
System Type: ?— +ta Z /toe,
(In accordance with Table V a�
This system has been installed in compliance with
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
Harnett County Department of Public Health 24208
Operation Per it
#!1 New Installation Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOICATION�yegiu i 4A sa/ 2 .alJ
T+�
SUBDIVISION�'6t.�F.:l�� LOT # Z
Registration #
er of Bedrooms J
❑ Well Distance Fromwell
MZ J3— Types
Owner must con ct Health
Carolina General Statutes. Rules for Sewage Treatment ar
'k --A 4—26`7—
V.—s
K
feet
Systems expire in S years.
hgmonths prior to expiration for permit renewal.
and all
_'I M6 IC
GS��
3VZ4'
DS
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 Authorization.
❑
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
ther 2"5%1U -6J u -7L ---
Septic Tank: I V O gallons
Pump Tank: t " y gallons
Subsurface
No. of
exact length
width of
depth of
Drainage Field
ditches
.3 of each ditch feet
ditches feet
ditches Z Z" inches
French Drain Required:
Linear feet
Authorized State A " It 4k�� <--- m6no�'f'� Date
16-5-38800 (2)
16-5-38800 (3)
16-5-38800 (4)
16-5-38800 (5)
16-5-38800 (6)
16-5-38800 (11)
16-5-38800 (7) 16-5-38800 (8)
16-5-38800 (12)
16-5-38800 (13)
16-5-38800 (9)
16-5-38800 (14)
16-5-38800 (10)