OP-4 T E # / 3 — —� — 5-3 Harnett County Department of Public Health 2 3
1
PERMIT # Z 75-44 �/ erabon Per 't
[? New Installation Septic Tank 2 Nitrification Line ❑ Repair ❑ Expansion
_ PROPERTY LOCATION: ar
Name: (owner) ` SUBDIVISION CI42 gG 6f i- LOT #
System Installer: t Registration #
Basement with plumbing: ❑ Garage �N mber of Bedrooms —
Type of Water Supply: El Community L� Public El Well Distance from well feet
System Type: S—k®3 0Z Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner must cants ealth 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 conditions of the
O -W -F= 1410' 1
PERMIT CONDITIONS: I I
I. Performance: Syste .
II. Monitoring: As required by Rule .1961. i�'j Lt
111. Maintenance: As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other:
Permit and Construction Authorization.
❑
D -Box ❑
Pump ❑
Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications
for the sewage disposal
system on the above captioned property.
Type of system: ❑
Conventional Other ?u
n,!{q 4-,)�' arc i
Septic Tank: t Or, v gallons Pump Tank: 100 O gallons
Subsurface
No. of
exact length
width of depth of
Drainage Field
ditches 3
of each ditch !Du feet
ditches —5 feet ditches 30—)18 inches
French Drain Required: Linear feet
Authorized State Age Date 3
W
w.x
T
/
�s
n"
t
d1k1 r '�
b i i
13-5-31658 (16) 13-5-31658 (17) 13-5-31658 (18) 13-5-31658 (19) 13-5-31658 (20)
/ a
a
a x
%t
13-5-31658(21) 13-5-31658(22) 13-5-31658(23) 13-5-31658(24) 13-5-31658(25)
Nx,
13-5-31658 (26) 13-5-31658 (27) 13-5-31658 (28) 13-5-31658 (29) 13-5-31658 (30)
13-5-31658 (36) 13-5-31658 (37) 13-5-31658 (38) 13-5-31658 (39)