OPHTE#jl�'6�35°aq Harnett County Department of Public Health
24248
PERMIT # /Operation
0 eration Permit /
New Installation EF Septic Tank d Nitrification Line ❑ Re air ❑ Expansion
PROPERTY LOCATIO 2
Name: (owner)i�4Nn1_(�- L� SUBDIVISION LOT #
System Installer: Registration #
Basement with plumbing: ❑ Garage mber of Bedrooms
Type of Water SSpply: El Community L�f Public El Well Distance from well feet
System Type: ``77�%a I�.��UL�Ltr_—F( Types V and VI Systems expire in S years.
(In accordance with Table V a) �r must Qtact Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General Station, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization
PERMIT CONDITIONS
I. Performance:
II. Monitoring.
III. Maintenance:
IV. Operation:
V. Other.
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12
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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 sewa disposal system on the above captioned property.
Type of system:
❑ Conventional
Other 7�%
Septic Tank: flao 0 gallons Pump Tank: gallons
Subsurface
Drainage Field
No. of
ditches
exact length
of each ditch 36 a, feet
width of depth of
ditches 3 feet ditches 7-1-41 inches
French Drain Required:
Linear feet
Authorized Stat < great = [__ /y//d 1 0� Date ) Z - &
u".
16-5-390104 (�1)
AN
16-5-39004 (6)
16-5-39004 (2)
16-5-39004 (3)
16-5-39004 (7)
16-5-39004 (8)
16-5-39004 (11)
16-5-39004 (12)
16-5-39004 (16) 16-5-39004 (17)
16-5-39004 (13)
16-5-39004 (4)
16-5-39004 (5)
� . �� Jar_.. a.tW�i•'M.
16-5-39004 (9) 16-5-39004 (10)
16-5-39004 (14) 16-5-39004 (15)