OPHTE# Harnett County Department of Public Health 2 0 8 3 9
PERMIT # a.5c1~2- Operation Permit
New Installation X Septic Tank ❑ RepairX Nitrification Line ❑ Expansion
PROPERTY LOCATION: vcj- t
Name: (owner) Kr~~ ~Vr~MING SUBDIVISION \,jLOT # )Oa,
System Installer. 4T,~, 5~ t,XLQ.~Q Registration #
Basement with plumbing: ❑ Garage ~K Number of Bedrooms !:I
Type of Water Supply: ❑ Community Public ❑ Well Distance from well 100 feet
System Type: 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.
nw splem nu Deen mscauea in compoance wan apphcalae north larohna General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
t,g^~~~ t iS c~thf
ss ~s-s ~
I LIII 111 lV1-11VI\J.
1. Performance:
11. 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 ❑ NOA
If yes, see attached sheet for additional operation conditions, maintenance and reporting
Following are the specifications for the sewage dispos I s stem the above captioned property.
Type of system: ❑ Conventional Other WTI Septic Tank: 1,000 gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field _ airrhrc of each ditch I Z Q feet ditches 3 feet ditches IS-30 inches
French Drain Required.;
Authorized State Agent ` 2 5 Date 9
~-S aao~t
~ { I~ dyp~ ~~j ~ YAK ~ ld~.
~ S.:wy~ 3. ;I t
^3• "i
lA n
~ f,
w _ ~ . -a
~ ~ w-~ ~ ~ 1 t j ~T
~
.,.tt. . ~ r ~ ~ ' a "'i
~
!~w `
h/F ~ 1
I
~ s ~
~
~ .
~ ~ ` ~ ~ri,~',
k~ Y
♦ n°
t,~
~Y~~~
~ t
e
. e~`
t
~
l A'-.~' ~ ' ~ y
.
~
i
~ ~ ~