OPd! Yt�'r `•
PERMIT # 2-9Zw3
Name: (owner) 3Sy/c�il
System Installer. c3y'.frrc�
Basement with plumbing: ❑ Garage
Type of Water Supply ❑ Community
System Type: ��
(In accordance with Table V a)
This system has been installed in compliance with
PERMIT CONDITIONS:
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
Harnett County Department of Public Health 24816
/ enation Permit /
[� Neww Installation Septic Tank Nitrification line ❑ Repair ❑ Expansion
PROPERTY LOCATIO
SUBDIVISION LOT # 37
Registration #
umber of Be ooms —�
Well Distance fro ell feet
Mpg *� pes V and VI Systems expire in 5 years.
��. Owner must contact Hea apartment the prior to expiration for permit renewal.
�Lml�b oror k n and Disposal, all conditions of the Immorement Permit and construction Authorization.
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 ❑ 1-12O1-ine
❑
Following are the
specifications for the se—waa disposal system on the above captioned property,
Type of system:
❑ Lonventional f� Other Z<1L ZI�DU
w _ Septic Tank 10 OLD gallons
Pump Tank:
Subsurface
Drainage Field
No. of exact length �A
ditches of each ditch feet
width of
ditches J� feet
depth of 22'
ditches
French Drain Retained: Linear feet
Authorized State c- /z ti�v 5 Date 6
iK
PWR Line
gallons Z
inches
17-5-42085 (1) 17-5-42085 (2) 17-5-42085 (3) 17-6-42085 (4) 17-5-42085 (5)
17-5-42085 (6) 17-5-42085 (7) 17-5-42085 (8) 17-5-42085 (9) 17-5-42085 (10)
17-5-42085 (11) 17-5-42085 (12) 17-542085 (13) 17-5-42085 (14) 17-5-42085 (15)
17-5-42085 (16) 17-5-42085 (17)