OPHTE# Fs-s��,� Harnett County Department of Public Health 24192
PERMIT# Zaf696 /0 eration Permit
New Installation Y Septic Tank IV Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION:a4/
Name: (owner) NG SUBDIVISION P—,m2?� LOT # ,3
System Installer: ST /A Registration # Z-76 it
Basement with plumbing: ❑ GarageNumber of Bedrooms
Type of Water Supply: ❑ Community [Public ❑ Well Distance from well feet
System Type: —.Ul G L'C-Types V and VI Systems expire in S years.
(In accordance with Table V a) Owner must co ct Health Department 6 months prior to expiration for permit renewal.
This system has been installed in compliance with applicable North Carolina General statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and tonstmnion duthormaaon.
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PERMIT CONDITIONS
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
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 ❑ H2OLine
❑ PWR Line
Following are the
specifications for the sews disposal system
on the above captioned property.
Type of system:
El [3' Z9 Other
6 /mob U C T' 11
Septic Tank: /000 gallons
Pump Tank: gallons
Subsurface
No. of u
exact length_
%S feet
width of
ditches 3 feet
depth of �t
ditches Z V inches
Drainage Field
ditches /
of each ditch
-
French Drain Required: Linear feet
Authorized State Date 1::?71
15-5-37472 (1) 15-5-37472 (2) 15-5-37472 (3) 15-5-37472 (4) 15-5-37472 (5) r
l
15-5-37472 (6) 15-5-37472 (7) 15-5-37472 (8) 15-5-37472 (9) 15.5-37472 (10)
mmmr
15-5-37472 (11) 15-5-37472 (12) 15-5-37472 (13) 15-5-37472 (14) 15-5-37472 (15)
15-5-37472 (16) 15-5-37472 (17) 15-5-37472 (18) 15-5-37472 (19)