HomeMy WebLinkAboutOPHTE# A-6 -4c7lq Harnett County Department of Public Health 24948
PERMIT # a JI le,3 eration Per ' j
17 New Installation Septic Tank itrification Line ❑ Repair ❑
PROPERTY LOCATION: V7J 0 1<r f n. S— a.\ ( Sri_ 19
Name: (owner) 9u. <,,n Howc:11 SUBDIVISION Q LOT # -
System Installer a'V r Registration #
Basement with plumbing: ❑ GarageNumLbe"f Bedrooms _ 0
Type of Water Supply: ❑ Community E4--Fublic ❑ Well Distance from well ^'r` feet
System Type: S` 5 Types V and A Systems expire in S years.
(in accordance with Table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General statutes, Rules for Sewage Treatment and Disposal, and all onditions of the Improvement Permit and Construction Authorization.
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PERMIT CONDITIONS:
Performance: System shall perform in accordance with Rule .1961
Monitoring: As required by Rule .1961.
Maintenance: k required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ No 13
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
Operation:
V. Other.
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewage a system on the above captioned petsyr
Type of system: ❑ Conventional Other : -If=l 0Septic Tank: U gallons Pump Tank: gallons
Subsurface No. of exact length '46
L y width of depth of
Drainage Field ditches of each ditch '7 'J feet ditches _ �. feet ditches �inches
French Drain Required: Linear feet
Authorized State Agent L`����/'�,��� I Date (51
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