OPHTE# fl -S— Harnett County Department of Public Health 23498
PERMIT # Z(-SZ`7 Operation a mit
EZ Installation Septic Tank L// Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: i.1�V5'r
Name: (owner) 1 4- �Ayjn . 14 SUBDIVISION LOT #
System Installer: Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms a
Type of Water Supply: ❑ Community-- 0 ---Pub F--Distanre from well J / o fppr
System Type: Z.5% aa&&i r3'ypesV VI Systems expire to 5 years.
(In accordance with able V a) wner must costa Health Department 6 months prior to expiration for permit renewal.
ICU
This system has ben installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Dislllgsal, and all conditions of the Improvement Permit and Construction Authorization.
PERMIT CONDITION \ �'
I. Performance: Nystem shall perform in accordance with Rule .1961.
II. Monitoring:' As\required by Rule .1961.
III. Maintenances As regb' ed by Rule .1961. Other:
Subsurfaces system operator required? Yes ❑ No ❑
It
If yes, see atik6 ed sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other:
❑
D -Box
❑ "'�Pump ❑
Alarm ❑ H20Line ❑ PWR Line
Following are the specifications
for
the sews a disposal system on the above captioned prop"er�ty.
Type of system: El
Conventional
[Other 7v,r f -a 2ts:%, ant tpLdcr//V
Septic Tank: ID06 gallons Pump Tank: 2- gallons
Subsurface
No. of
length
width of depth of
Drainage Field
ditches
_
5 of each ditch 15 o feet
- ditches 3 feet ditches Ly inches
French Drain Required:
Linear feet
Authorized State Agept_,,r----�� f �� ��J/�oz,-r � Date 2 — (. - I S-
Y
1
ux
tt
µMk
°l
i i Y
Jz1
l
iv
11-5-27451 (1)
11-5-27451 (2)
11-5-27451 (3)
11-5-27451 (4)
11-5-27451 (5)
Y
1
ux
11-5-27451(11)
11-5-27451(12)
11-5-27451(13)
11-5-27451(14) 11-5-27451(15)
11-5-27451 (36)
11-5-27451 (37)
11-5-27451 (38)
11-5-27451 (39) 11-5-27451(40)
11-5-27451 (41)
11-5-27451 (42)
11-5-27451 (43)
11-5-27451(44)