OP RRRIITE#CQ_� _64L,r�a- Harnett County Department of Public Health 24800
PERMIT# 0
2"New
Permit
2 New Installation Septic Tank Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:�f ,o55 ,gyp
Name: (owner) S P.6 TNr SUBDIVISION / ���. LOT # 6
System Installer. Ao Registration #
Basement with plumbing: ❑ Garagep/—her of Bedrooms 3
Type of Water ..Supply: ❑Community LAS Public ❑ Well Distance from well feet
System Type: Yrs n fa ZSpl� STs/- Tsiq� 6 �J Types V and VI Systems expire in S years.
(In accordance with T lei— a e V a) ` Owner_ must contact Health Department 6 months prior to expiration for permit renewal.
Ims 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 Concnuction Authorization.
I I'211�1 '2.
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I. Performance:
If. Monitoring:
III. Maintenance:
IV, Operation:
V. 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 ❑ H2OLims ❑ PWR Line
Following are the specifications for the sewa disposal system on the above cap tio d pro erty.
Type of system: ❑ Conventional ( Other /tea --n 4 23GO%> �� Septic Tank 4= gallons Pump Tank ,V_12926 gallons
Subsurface No. of �( exact length width of depth of
Drainage Field ditches I of each ditch 00 feet ditches feet ditches inches
french Drain Required: Linear feet
Authorized State nDate
07-5-16966RRR (1) 07-5-16966RRR (2) 07-5-16966RRR (3) 07-5-16966RRR (4) 07-5-16966RRR (5)
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07-5 16966RRR (6) 07-5-16966RRR (7) 07 5-16966RRR (8) 07-5-16966RRR (9) 07-5-16966RRR (10)
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71
07-5-16966RRR (11) 07-5-16966RRR (12) 07-5 16966RRR (13) 07 5-16966RRR (14) 07 5-16966RRR (15)
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075-16966RRR (16) 07-5-16966RRR (17) 07-5-16966RRR (18) 07-5-16966RRR (19) 07-5-16966RRR (20)
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07-5-16966RRR (21) 07-5-16966RRR (22) 07-5-16966RRR (23) 07-5-16966RRR (24) 07-5-16966RRR (25)
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07-5-16966RRR (26) 07-5-16966RRR (27) 07-5-16966RRR (28) 07-5-16966RRR (29) 07-5-16966RRR (30)
07-5-16966RRR (31) 07-5-16966RRR (32) 07-5-16966RRR (33) 07-5-16966RRR (34) 07-5-16966RRR (35)