OPHTE# 05-9<)- Harnett County Department of Public Health 2 p 7 3 3
PERMIT # Operation Permit
-New Installation ptiF4--4eptic Tank ❑ Repair Nitrification Line ❑ Expansion
PROPERTY LOCATION: 1 113
Name: (owner) SUBDIVISION I~1n IL~ LOT #
System Installer: /1'1 Registration #
Basement with plumbing. ❑ Garage fig--Number of Bedrooms
Type of Water Suppl : ❑ Community W Public ❑ Well Distance from well feet
System Type: t^, <h `k j\\ ~ Types V and VI Systems expire in 5 years.
(In accordance with table V a) Owner must contact Health Department 6 months prior to expiration for permit renewal.
[ms system nos been mstaneb in compliance wIm applicable North larolma beneral Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
,
3-'
PERMIT CONDITIONS:
1. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. 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;4-
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
Following are the specifications for the sewage disposal syAem on the above captioned property.
Type of system: El Conventional ,,2L Other i L. • c'tf 44 Septic Tank: /000 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch feet ditches feet ditches inches
French Drain Required: linear feet
Authorized State Agent Date D
~ pV! v
Jdf '6690-4:DSa
arf '
i
ts .p. -
i^w
J F
r
3
r~
r R
y ~
JdFL690-~OSa
Jdr'8690JOSa
/Awl
k
l
d
1
.
/1l
F
r
y
r~~
/
r s v
r
1
_
sE ~ t
•
"i
ap
z
x