Loading...
OPHTE# CYO-Say` T"I Harnett County Department of Public Health 2 0 7 7 8 PERMIT # Operation Permit New Installation X Septic Tank ❑ Repairr Nitrification Line ❑ Expansion PROPERTY LOCATION: Pe- l Q-9 Name: (owner) I-- P v u-r-. r-~a~H o~ SUBDIVISION LOT # System Installer: Registration # Basement with plumbing: ❑ Garage ❑ Number of Bedrooms 3 Type of Water Supply: ❑ Community X Public ❑ Well Distance from well t O© feet System Type: --1:S 2 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. ..no ipmni naf uemi mstaneo in compoance with appincame North larohna General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the t r 3ta w~t_L D 2 V DCGMIT rAkin!TIAUC a-S °/a t11 QJ-10 OCi,0N ~PAs2 ~a X64' o u- ..j 2D Permit and construction Authorization. l$l~ 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 conditions, maintenance and reporting. IV. Operation: V. Other. Following are the specifications for the sewage disposal system on the above captioned property. Type of system: 'X Conventional ❑ Other Subsurface No. of exact length Drainage Field ditches _4 of each ditch 50 Wt Septic Tank: IobG gallons Pump Tank gallons width of j depth of cc~ micnca IIIIIIC) French Drain Required: eet Authorized State Agent Q-~) Date 3 a9