OPHTE# /if — J - '-/ y Harnett County Department of Public Health 24815
PERMIT # 7-95s. Aeration Perojit'
New Installation Septic Tank Ealitrification Line ❑ Repair ❑ Expansion
PROPERTY LOLATION: /4 LJ!f Rz
Name: (owner) _h0NA)r-F, 0 CcolL.2At)r[1.P SUBDIVISION LOT #
System Installer: 7-fi6x-A-S re>p3 e -A Registration #
Basement with plumbing. ❑ Garage Dumber of�Bedrr S s
Type of Water Supply: ❑ Community 0' Pu61ic L�" Well Distance from well feet
System Type: M J a 57 h— �j,M =e-- Types V and VI Systems expire in S years.
(In accordance with Table V a) J Owner must contact Health Department 6 months prior to expiration for permit renewal.
This systRu has been installed in compliance with applicable North Carolina General Statutes, Rules forSew Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
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O'er
PERMIT CONDITIONS: s7 7
1. Performance: System shall pert r in a rdan 'th Rule .I f/
ll. Monitoring: As required b 961. o
III. Maintenance: As required by her.
Subsurface syste cep ro egmre .
If yes, see attach ,s eet fo�tianal.uparatie oni itiom, maintenance and
IV. Operation:
V. Other.
❑ D -Boz ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sdisposal system on �the �above captioned property.
Type of system: El Conventional
Conventional Other ZS% IC.L=%J!Lfld� Septic Tank: -ODgallons Pump Tank gallons
Subsurface No. of exact length v width of depth of
Drainage Field ditches of each ditch feet ditches 3 feet ditches ZL inches
French Drain Reouired: Linear feet
Authorized State Agmc e- �f L/ .L.9>J✓ �� � Date
IMAM
18-5-44004 (1) 18-5-44004 (2) M 18-5-44004 (3) 18-544004 (4) 18-5-44004 (5)
�WF
.. 1.
i �.
r x �
18-5-44004 (6) 18-5-44004 (7) 18-5-44004(8) 18-5-44004 (9) 18-5-44004 (10)
/ )
Via...,:
18-5-44004 (11) 18-5-44004 (12) 18-5-44004 (13) 18-5-44004 (14) 18-5-44004 (15)
18-5-44004 (16) 18-5-44004 (17) 18-5-44004 (18) 18-544004 (19) 18-5-44004 (20)
mw=*w
18-544004 (21) 18-5-44004 (22) 18-5-44004 (23) � 18-544004 (24) 18-544004 (25)
18-544004 (26) 18-5-44004 (27) 18-544004 (28) 18.544004 (29) 18-544004 (30)
d
18-5.44004 (31) 18-5-44004 (32) 18-5-44004 (33) 18-544004 (34) 18-544004 (35)