OPHTE# 6- 5:— Harnett County Department of Public Health 23815
PERMIT # Z803!j Operation Per It
Q New Installation ff Septic Tank L f Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATIOI12K ZZc-Y-lti e 2d
Name: (owner) 411,.&a_Crt5r�x SUBDIVISION 4jde,,96WW,,,,) LOT # �( _
System Installer:4W902--• Registration #
Basement with plumbing. ❑ Garage 2*1umber of Bedrooms
Type of Water Supply: ❑ Community L.1 Public ❑ Well Distance from well feet
System Type: 5`>- iL-�Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner must co t Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable Nonh Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization
rtNNll LUNUIIIUN):
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
d
P � 135
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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 ❑ H2OLine
❑ PWR Line
Following are the
specifications for the sews disposal system on the above captioned property.
Type of system:
❑ Conventional Z Other ?,0/ot7ebo
C I—LJ'>L- -
Septic Tank / O O gallons
Pump Tank gallons
Subsurface
No, of
exact length
width of
depth of
Drainage field
ditches
of each ditch 3 ° feet
ditches -7!1— feet
ditches 1Co-) I % inches
french Drain Required: Linear feet
Authorized State ent Date S'
15-5-35484 (1) 15-5-35484 (2) 15-5-35484 (3) 15-5-35484 (4) 15-5-35484 (5)
15-5-35484 (6) 15-5-35484 (7) 15-5-35484 (8) 15-5-35484 (9) 15-5-35484 (10)
.4
15-5-35484 (11) 15-5-35484 (12) 15-5-35484 (13) 15-5-35484 (14) 15-5-35484 (15)
1
15-5-35484 (16) 15-5-35484 (17) 15-5-35484 (18) 15-5-35484 (19) 15-5-35484 (20)
y
t
15-5-35484 (21) 15-5-35484 (22) 15-5-35484 (23)