OPNTE# IG - 9-352.6/ Harnett County Department of Public Health 24351
PERMIT # ZS O Aeration Per it'
New Installation Septic Tank Nitrification Line ❑ Repair ❑Expansion
n PROPERTY LOCATION: / N 13 Wall' &0
Name: (owner) rr� Lq � _Z4G SUBDIVISION ,��� LOT # ZZ
System Installer: Registration #
Basement with plumbing: ❑ Garage_ 1 umber of Bedrooms ,5
Type of Water Supply: ❑ Community l� Public ❑ Well Distance from well feet
System Type: 45"$ 1 1 .06de Types V and VI Systems expire in S years.
(In accordance with Table V a) �, d - Dwyer must ntact Health Department 6 months prior to expiration for permit renewal.
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This system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization
YRRMII LUNDIFIUNS:
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
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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 ❑ H2OLfne ❑ PWR Line
Following are the specifications for the se�wa�disposal s stem on the bove captioned property.
Type of system: ❑ Conventional fes' Other Septic Tank / '4 n 0 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches q of each ditch fo b feet ditches 3 feet ditches inches
French Drain Required: Linear feet
Authorized StateA t� L Date s' 2- I ' )
16-5-39211 (1)
ILI
T - r
ry
16-5-39211 (2) 16-5-39211 (3)
16-5-39211 (4) 16-5-39211 (5)
L i
16-5-39211 (6) 16-5-39211 (7)
..r
16-5-39211(11) 16-5-39211(12)
16-5-39211 (16) 16-5-39211(17)
16-5-39211 (8)
16-5-39211 (9)
16-5-39211 (10)
16-5-39211 (13)
16-5-39211 (14)
16-5-39211 (15)