OPHTE#-08 - -5~-- Z ► f -7 q Harnett County Department of Public Health 2031 5
PERMIT Operation Permit
lad New Installation [2/ Septic Tank ❑ Repair [;/Nitrification Line ❑ Expansion
PROPERTY LOCATION: a4 /y s z ,r p,~,.~ 21~
Name: (owner) 7 SUBDIVISION LOT # t
System Installer: 4 ! Registration #
Basement with plumbing: ❑ G rage Number of Be oms
Type of Water Supply: ❑ Community ❑ Public Well Distance from well So' t - feet
System Type: 2 50,6 xsA.._ % . ,ZZ r- 4 Zc~ Types V and VI Systems expire in 5 years.
(In accordance with Table V a) I /I Owner must contact Health Department 6 months prior to expiration for permit renewal.
ims system nas been installed in comWrance with
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North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the
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Permit and Construction Authorization.
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1. Performance: System shall perform in accordance with Rule .1961.
II. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other. P0
Subsurface system operator required? Yes ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
IV. Operation:
V. Other.
Following are the specifications for the sew3# disposal system on the above captioned property.
Type of system: ❑ Conventional E~ Other 150/c, 12<D0e-iW)) Septic Tank: IDo b gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch ZOO feet ditches 3 feet ditches -Z (a 5 f $ inches
French Drain Required: linear feet
Authorized State A ent~~~Qi, Date 2-Z-7
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