OPHTE# -s =j 1232 Harnett County Department of Public Health 24268
PERMIT # Sg / Operation Per 't
1 �k New installation c Tank rvl Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATIONeWC- O
Name: (owner) BAWL / /30f/6—jl� Ti r SUBDIVISION LOT
System Installer:,_ 7;VPAj.0 AW41-%[�2�5 Registration #
Basement with plumbing: ❑ Garage 5( umbe� 3
Bedrooms
Type of Water Supply: 13 Community Public ❑ Well Distance from well feet
System Type: 19%' r$..T4&.Z%' 43 Types V and VI Systems expire in S years.
(In accordance with Table V a) OwgAr,�mysacontact Health Department 6 months prior to expiration for permit renewal.
installed in compliance with applicable North Carolina General Statutes. Rules for
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
Other.
9b
\�
and Disposal, and all conditions of the Improvement Permit and construction
D 10 -pi
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 ❑ 11201-ine ❑ PWR Line
Following are the specifications for the seewwaa disposal sys o� thfj above captioned property.
Type of system: ❑ Conventional LS Other �S /a .e¢ —Wf7Gi_ Septic Tank: /dy d gallons Pump Tank: d ore gallons
Subsurface No. of exact length width of depth of f
Drainage Field ditches of each ditch ZOO feet ditches ? feet ditches Z --41.0 inches
French Drain Required: Linear feet
Authorized Stat ¢ent 6� Date I I—v I `-e
16-5-37232 (6) 16-5-37232 (7) 16-5-37232 (8) 16-5-37232(9) 16-5-37232 (10)
S �l:
16-5-37232 (11) 16-5-37232 (12) 16-5-37232(13) 16-5-37232(14) 16-5-37232 (15)
7,1
i,
16-5-37232 (16) 16-5-37232(17) 16-5-37232(18) 16-5-37232(19) 16-5-37232 (20)
v.
.r
16-5-37232 (21) 16-5-37232 (22) 16-5-37232 (23) 16-5-37232 (24) 16-5-37232 (25)
+t1
Alm- 11
16-5-37232 (26) 16-5-37232(27) 16-5-37232 (28) 16-5-37232 (29) 16-5-37232 (30)
L>�. -
16-5-37232 (31) 16-5-37232 (32) 16-5-37232 (33) 16-5-37232 (34) 16-5-37232(35)