OPHTE #/'!, S'3EM0 Harnett County Department of Public Health
PERMIT # 7 0 eration Permit 24518
OJ New Installation Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY XfL
Name: (owner) c SUBDIVISIONLOT # 2.S"
System Installer. Registration #
Basement with plumbing: ❑ Garage lumber of Bedrooms
Type of Water Suppl : ❑ Community IJ Public ❑ Well Distance from well feet
System Type: I1 /Pa.Q si,.r% �%a+� �G Cir Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner ust contact Health Department 6 months prior to expiration for permit renewal.
INS system has been installed to mmphance with appliable North Carolina General Suuuns Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
-- �'
b tT'
a 4D II
�g $ U 16th
�y(J
PERMIT CONDITIONS
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
Other.
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 sewage disposal system on the above captioned property.
Type of system: El Con anal Cf Other 2`57%/_Abucrt, Septic Tank: / o o U gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage field ditches � of each ditch I Z b feet ditches -3 feet ditches 2 'S 12 inches
trench Drain Required: Linear feet
Authorized State Age Date /O i Z —1 7
y '�p
A
16-5-38880 (1) 16-5-38880 (2) 16-5-38880 (3) 16-5-38880 (4) 16-5-38880 (5)
M -q• x _ -
16-5-38880 (6) 16-5-38880 (7) 16-5-38880 (8) 16-5-38880 (9) 16-5-38880 (10)
16-5-38880(11) 16-5-38880(12) 16-5-38880(13) 16-5-38880(14) 16-5-38880(15)
.i
A'
16-5-38880(16) 16-5-38880 (17) 16-5-38880(18) 16-5-38880(19) 16-5-38880 (20)
16-5-38880(21) 16-5-38880(22) 16-5-38880(23) 16-5-38880(24) 16-5-38880(25)
,1 m
16-5-38880(26) 16-5-38880(27) 16-5-38880(28) 16-5-38880(29) 16-5-38880(30)
4
., � �l • � ice.- i.
16-5-38880(31) 16-5-38880(32) 16-5-38880(33)