OPHTE# Jt, -5 - Ltcaauy
Harnett County
Department of
Public Health 24358
PERMIT# Z9049
/
Operation Per It
New Installation a Septic Tank Nitrification Line ❑ Repair ❑ Expansior
PROPERTY LOCATION: t 1 t 6i /V)
Name: (owner) S�Cr,, >_ ; , !{ ,r/SUBDIVISION — LOT # 7 cp
System Installer. -- Soffa'/ p Registration #
Basement with plumbing: ❑ Garage ^ /Number of Bedrooms 3
Type of Water Supply: ❑ Community LtY Public ❑ Well Distance from well feet
System Type: 57 I Types V and VI Systems expire in S years.
(In accordance with Table V a) caner must contact Health Department 6 months prior to expiration for permit renewal.
iii., .p.... ..0 "- nmana ... ionlPnau¢ emi apPntzurc ..nn. uEemp mmes. nares nor sewage lrearmem and WSPosal, and all wndltlons of rhe
PERMIT CONDITIONS
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
Permit and construction Authorization.
D0�8Y t AO'e
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 sewago'disposal system on the above captioned property.
Type of system: ❑ Conventional CiY Other ?5 �sF!lrrl�sx cy ELS Septic Tank: I oo J gallons Pump Tank: t o gallons
Subsurface No. of exact length width of depth of t
Drainage Field ditches of each ditch Z 4 S feet ditches feet ditches f 6 inches
French Drain Required: Linear feet
Authorized State AgeoK kn�. 1 �%A. Date
16-5-40044 (1)
16-540044 (2)
16-5-40044 (3)
16-5-40044 (4)
16-5-00044 (5)
16-5-40044 (6)
16-540044 (7)
16-5-40044 (8)
16-5-40044 (9)
16-5-40044 (10)
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16-540044 (11)
16-540044 (12)
16-5-40044 (13)
16-5-40044 (14)
16-540044 (15)
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16-540044(16)
16-5-40044(17)
16-540044 (18)
16-5-40044 (19)
16-5-40044 (20)
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16-5-40044 (21)
16-540044 (22)
16-5-40044 (23)
16-5-40044 (24)