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PERMIT # Zklip
Harnett County Department of Public Health 23873
Red (Door- {-Ivmn s
Name: (owner) Abkis LUQ
System Installer: ! 'Acot.� :
Basement with plumbing: ❑ Garage
Type of Water Supply:
!1❑.. �Community
System Type: ZS'/p a!/8ad LZill�
(In accordance with Table V a)
This system has been installed in compliance with
PERMIT CONDITIONS:
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other.
�0 eratlon Permit
NeW InstallatiSeptic Tank C(/ Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATIONO /ss/ .Jc C.1,. lsri e /C�
SUBDIVISION LOT #
t
Registration #
of Bedrooms
❑ Well Distance from well feet
2!u eslG,�' Types V and VI Systems exp re in S years.
% I O t gyr ealth Department 6 month prior to expiration for permit renewal.
ofina Gm StipatCatul� hx' S Treatfient�� Disposal, and all conditions of the Improvement Permit and (anstmaia) pmhorination.
+9- .11 gt, �n
C4+aLcfi..e a-zs•a r
1 Nea-t1s C.sF ra.._.
Xr% 6+D
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 ❑ H201-ine ❑ PWR Line
Following are the specifications for the sewa�e disposal system on the above captioned property.
Type of system: ❑ Conventional 7"Other tSV.2FAOcn#c <h4W, Septic Tank: I 1 000 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of so
Drainage Field ditches 5 of each ditch ��— feet ditches 3 feet ditches IS inches
French Drain Required: Linear feet
l
Authorized State AWC ,. Z — _ %fig/ ,^ L � Date
A,
15-5-37116 (1) 15-5-37116(2) 15-5-37116 (3) 15-5-37116 (4) 15-5-37116 (5)
15-5-37116 (6) 15-5-37116 (7) 15-5-37116 (8) 15-5-37116 (9) 15-5-37116 (10)
Z
. K 7
15-5-37116 (11) 15-5-37116 (12) 15-5-37116 (13) 15-5-37116 (14) 15-5-37116 (15)
L
777
- V4-
15-5-37116 (16) 15-5-37116 (17) 15-5-37116 (18) 15-5-37116 (19) 15-6-37116 (20)