OP RHTE# tS - - -5031-
Harnett County
Department of
Public Health 23882
PERMIT # 28 f 7o
sews
specifications for the sews disposal
Operation r iit
L� New Installation Septic Tank L7 Nitrification line ❑ Repair ❑ Expansion
PROPERTY LOCATION:/ 3446ll,.1
Name: (owner) g SUBDIVISION M,: it ^ A cb LOT # 1' -PR
System Installer: � Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms 3
Type of Water Supply: ❑ Community IeKPublic ❑ Well Distance from well feet
System Type: Types V and VI Systems expire in S years.
(in accordance with Table V a)�"� Bi9t�c.. Owner m 't contact Health Department 6 months prior to expiation for permit renewal.
This system has been installed in mmoliance with
I. Performance:
II. Monitoring:
Ill. Maintenance:
IV. Operation:
V. Other:
and all wnditions of the Improvement Permit and Construction Authorization.
0
Z
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 -Bax ❑
Pump
Alarm 11H2OLine ❑ PWR Line
Following are the
sews
specifications for the sews disposal
,50
systerIove captioned property.
Type of system:
❑ Conventional
Septic Tank: 6 o O a gallons Pump Tank: gallons
Subsurface
No. of
exact length
y
width of depth of ,
2
Drainage Field
ditches
of each ditch feet
ditches feet ditches inches
French Drain Returned: Linear feet
Authorized State Adrit-12--=, lf�— k,4��v Date 12 -16 - / $
15-5-36503R (1)
15-5-36503R (2)
15-5-36503R (3)
15-5-36503R (6)
15-5-36503R (7)
15-5-36503R (8)
15-5-36503R (4)
I
15-5-36503R (9)
15-5-36503R (5)
15-5-36503R (10)
15.5-36503R (11)
15-5-36503R (12)
15-5-36503R (16) 15-5-36503R (17)
15-5-36503R (13)
15-5-36503R (14)
15-5-36503R (15)