OPHTE# ! 3 S -Z171Z Harnett County Department of Publi
PERMIT # Aeration PPermi P
New Installation 2 Se tic Tank
PROPERTY LOCATION: Z�
Name: (owner) J.-A SUBDIVISION
System Installer: dz, Q/z/,42/ Registratio #
Basement with plumbing: ❑ Garage ❑ Number of Bedrooms 2--71511
Type of Water Supply: ❑ Community 2-- Fublic ❑ Well Distance from well ee
System Type: j?'�ibr��+ 2rQ 7b Trlu�r_ r� Type V d p
(In accordance with Table V a) Owner must contact Heal D a rnt-6 mo h.
This system has been installed in
PERMIT CONDITIONS:
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
with applicable North Carolina General Statutes, Rules for Sewaze Treatment
E=
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.
Health
i 23002
Nitrification line ❑ Repair xpansion
in 5 years.
prior to expiration for permit renewal.
of the Improvement Permit and Construction Authorization.
�V-T ,f3
10
G d
❑ D -Box ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewa�tsposal system on the above captioned property.
Type of system: ❑ Conventional Efr Other A< ra4 ,6vM Y40 '�)"1� +�� Septic Tank: gallons Pump Tank: Z � gallons
Subsurface No. of exact length r width of depth of
, "j
Drainage Field ditches ( of each ditch YS feet ditches _3 feet ditches `3 t inches
French Drain Reauired: T Linear feet
Authorized State Age � 4 -- . Al Date Ip —> b — t 3