OPHTE#[,r-f-75- � Harnett County Department of Public Health 23797
PERMIT # Z93 66' Operation Permi
New Installation Septic Tank 0 Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LO(ATION:se/y37
Name: (owner) edit-�? SUBDIVISION l>/�J LOT # /e/7
System Installer: /t?� iscaWb% Registration #
Basement with plumbing: ❑ Garage ber of Bedrooms_
Type of Water ply: ❑ Community Public ❑ Well Distance from well feet
System Type: Z�0-- Q CT Ailn=% es V and VI Systems expire in 5 years.
(In accordance with Tae V a) Owner mu t c Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with appliable North (amlina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Lnnmuaion numormton
re - 41 ,4- m&'
t
i
Z'
3 9D
PERMIT CONDITIONS
I. Performance:
IL Monitoring:
Ill. Maintenance:
IV. Operation:
V. Other.
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
ElH2OLine ❑ PWR Line
Cl
roAda6i
Following are the
specifications for
the sewa disposal iat
��'�
Type of system:
El Conventional
I1ITther
Septic Tank: 1666 gallons Pump Tank: gallons
Subsurface
No. of
enact length
width of depth of
Drainage Field
ditches
of each ditch Ly6 fees
-'7�n
ditches feet ditches inches
French Drain Required: Linear feet
Authorized State Age�.� Date
15-5-35835 (1)
15-5-35835 (2)
15-5-35835 (3)
15-5-35835 (6)
15-5-35835 (7)
15-5-35835 (8)
Y
15-5-35835 (4)
15-5-35835 (9)
11
15-5-35835 (11)
15-5-35835 (12)
15-5-35835 (13)
15-5-35835(14)
Ii+�v <•7
15-5-35835 (5)
15-5-35835 (10)