OPHTE# � — 5— c���33 Harnett County Department of Public Health
PERMIT # �� ®� �' Operation Permit 22765
New Installation -� Septic Tank X Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: \r� QL- Z
Name: (owner) SRN --f4 \0t s LLC, SUBDIVISION Y-g-n>i -f LOT # '75
System Installer: \-I cacZ) C- Registration #
Basement with plumbing: ❑ Garage Number of Bedrooms
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 1®® feet
System Type: G, 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.
this system has been installed In compliance with applicable North larollna heneral )tatutes, Kules for )ewage Ireatment and Disposal, and all conditions of the Improvement rermlt and lonstruction Authorization.
PERMIT CONDITIONS:
I. Performance:
11. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
Y. GAD LPAI �Iq--
System shall perform in accordance with Rule .1961.
As required by Rule .1961.
As required by Rule .1961. Other:
Subsurface system operator required? Yes ❑ N 0
If yes, see attached sheet for additional operation conditions, maintenance and reporting.
❑ D -Box ❑ Pump ❑
Following are the specifications for the sewage disposal system on the above captioned property.
Type of system: ❑ Conventional X Other E -(
Subsurface No. of exact length
Drainage Field — ditches,, of each ditch 6G feet
French Drain Required: _ <inear feet
Alarm ❑
Septic Tank: 1006
width of
ditches
Authorized State Agent Date 1
H2OLine ❑ PWR Line
gallons Pump Tank: gallons
depth of
feet ditches A -30 inches
13,- 5- `2�,015a3