OP RHTE# Zt — 3?71 7/z Harnett County Department of Public Health
23919
PERMIT # Operation Per 't
L2' New Installation Septic Tank L21 Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:2X/V, 7
Name: (owner) Tic- SUBDIVISION 43 1/,e,X 606od-o LOT # /`/o
System Installer: 7' -e --s2 4 ^ Registration #
Basement with plumbing: ❑ Garage ❑ umber of Bedrooms
Type of Water Supply: El Community LTJ Public A Well Distance from well feet
System Type: 25'% Types V and VI Systems expire in S years.
(In accordance with Table V a) JrOwner must contact Health Department 6 months prior to expiration for permit renewal.
0-a .,48, \\ 14�;% /GS.*:a
This system has been installed in compliance with applicable North lina General far Sewage Thant and Disposal, and all conditions of the Improvement Permit and Construction Authorisation.
I. Performance:
If. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
53
E I ",
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 sew a disposal system on the above cap ned property.
U
Type of system:
❑ Conventional
WJ Other
Septic Tank: /0 0 O gallons Pump Tank: /UO gallons
Subsurface
No. of
exact length
width of depth of . .
Drainage Field
ditches
of each ditch 4 60 feet
ditches 3 feet ditches y —f $ inches
french Drain Required: Linear feet
41
Authorized State A nl-ti }� Date 4 -x`-/46
-
1
10
15-5-37257R (1) 15-5-37257R (2) --- ' 15-5-37257R (3) 15-5-37257R (4) 15-5-37257R (5)
7 F , :JY
15-5-37257R (6) 15-5-37257R (7) 15-5-37257R (8) 15-5-37257R (9) 15-5-37257R (10)
!I .
1, n6R;:
�i.r. � .: fY�ii ,._. Yds. • �
15-5-37257R (11) 15-5-37257R (12) 15-5-37257R (13) 15-5-37257R (14) 15-5-37257R (15)
son
.._
15-5-37257R (16) 15-5-37257R (17) 15-5-37257R (18) 15-5-37257R (19) 15-5-37257R (20)