OPHTE# Harnett County Department of Public Health 24066
PERMIT # 7-Sss3 /Operation Pe it
EV New Installation ESd Septic Tank r;t Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION4X15d-54+xrx&j=4 X.6
Name: (owner),Aln,.J,y-!?oascQa Wei_ SUBDIVISION LOT #
System Installer: C/T,+t Registration #
Basement with plumbing: ❑ Garageumber of Bedrooms q
Type of Water Supply: ElCommunity Public ❑ Well Distance from well feet
System Type: 7 +II G C Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner must contact Health Department 6 months prior to expiration f�r permit renewal.
This system has been installed in compliance with
PERMIT CONDITIONS:
I. Performance:
11. Monitoring:
111. Maintenance:
IV. Operation:
V. Other.
General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Pe jnit and construction Authorization.
�Ie
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 -Boz ❑ Pump ❑ Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sewa disposal system on the above captioned property.
Type of system: ❑ Conventional ther Septic Tank / oa gallons Pump Tank gallons
Subsurface No. of exact length width of depth of
a
Drainage Field ditches _3 of each ditch feet ditches feet ditches — 2AJ inches
French Drain Required: Linear feet ,I
Authorized State Agedj: �c � Date Z3 " /G
0
15-5-37052 (1)
15-5-37052 (6)
15-5-37052 (11)
15-5-37052 (2)
15-5-37052 (7)
15-5-37052 (3)
15-5-37052 (4)
15-5-37052 (5)
15-5-37052 (8)
15-5-37052 (9)
15-5-37052 (10)