OP R- Cannot sign off onNTE#17—s—Ny7vi�Z Harnett County Department of Public Health
PERMIT # 2!26,0 s— Operation Pe It /
❑ New Installation Septic Tank d Nitrificat
PROPERTY LOCATION:
Name: (owner) L%d'1/�!� U SUBDIVISION
System Installer: Reg' ion #
Basement with plumbing: ❑ Gs age ber of Bedrooms
Type of Water Sup : ❑ Communi L✓ Pu lic ❑ Well Distance from ell eet
System Type: V VI Systems expire in 5 years.
(In accordance with Table V a) Owner f c to Ith epartment 6 months prior to expi
has been installed in compliance with applicable Nd'th Carolina General Aawtes. A61es for fewaee Tr/atmnFt and oriental. and all conditions
PERMIT CONDITIONS:
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
System shall perform in accordance with Rule .1961. `�v
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.
245044
Line ❑ Repair 0 Expansion
for permit renewal.
Permit and Construction Authorization.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2O1-ine ❑
Following are the specifications for the sewa disposal s stem on the above captioned property.
Type of system: ❑ Conventional Other 5, 0Septic Tank: % Z s� gallons Pump Tank
Subsurface No. of exact length c width of depth of pt
Drainage Field ditches of each ditch 5bc) feet ditches feet ditches 3b
French Drain Required: Linear feet
Authorized State A ent �`��i�iV%/?�(— a Date I " /5— —
PWR Line
gallons
inches
�I
ar
17-5-41741R(1) 17-5-41741R(2) 17-5-41741R(3) 17-5-41741R(4) 17-5-41741R(5)
i
17-5-41741R(6) 17-5-41741R(7) 17-5-41741R(8) 17-5-41741R(9) 17-5-41741R(10)
17-5-41741R(11) 17-5-41741R(12) 17-5-41741R(13) 17-5-41741R(14) 17-5-41741R(15)
RAN
s; r"i ��.
17-5-41741R(16) 17-5-41741R(17) 17-5-41741R(18) 17-5-41741R(19) 17-5-41741R(20)
17-5-41741R(21) 17-5-41741R(22) 17-541741R(23) 17-5-41741R(24) 17-5-41741R(25)
17-5-41741 R (26) 17-5-41741 R (27) 17-5-41741 R (28) 17-5-41741 R (29) 17-5-41741 R (30)
1