OPHTE# oft 5-0,5- k Harnett County Department of Public Health 2 0 7 2 6
PERMIT # S 3 fO Operation Permit
New Installation,j"ptic Tank ❑ Repair,~341trification Line ❑ Expansion
PROPERTY LOCATION: '1
Name: (owner) NAt SUBDIVISION 6011 LOT #
System Installer: 0. )i-~ 2f t Registration #
Basement with plumbing: ❑ Garage ❑ Number of Bedrooms
Type of Water Supply: ❑ fommunity ~4 Public ❑ Well Distance from well / J feet
System Type: - 2 Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner must tact Health Department 6 months prior to expiration for permit renewal.
0
nm system nas "en tmtateo in
~A,
wim appncame norm tarouna uenerai Ntatutes, naves for )ewage treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
t
Rio )-i't
t) Co" l ,
(11-C4 t/'~ k-
rcnnii wnuufvns:
I. Performance: System shall perform in accordance with Rule .1961.
II. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ No
If yes, see attached sheet for additional operation
IV. Operation:
V. Other.
maintenance and reporting.
Following are the specifications for the sewage disposal syste on the above captioned property.
Type of system: ❑ Conventional Other - - I F Septic Tank: b,)2 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch _)q,) feet ditches 3 feet ditches 4 inches
french Drain Required: linear feet
n a~
Authorized State Agent ~l \J\~ Date ~f
. I
'a _3 h
' ham'
~
x~
fdr
a Y N..
n _ -
.re
3.
i
low$
DSCF0609.JPG
r
qq
Cis
~
t
r„Z rid
..3y1~ tSA~
,~e "e wr ~
s ~
e
~T
s
1 S~
t
1
M i l
j MIL
DSCF0611 _JPG
J" -
zt,
DSCF0610.JPG
.q
•
•
~Le
h.
YO„t ';l~Y
~
' ~
v ~ t
,re
~ ' „ d i+16.~ ~
'fix
~ ?S
g
n.r.FnA
l9 _ipr,