Loading...
OP RHarnett County Department of Public Health 20841 PERMIT # 2.5410 Operation Permit X New Installation X Septic Tank ❑ RepairX Nitrification Line ❑ Expansion PROPERTY LOCATION: 1-Er),u EL 93 L-Pkc.-e- Q.D Name: (owner) Ct~~srYs LpNa d~yEeuPr.E~rC SUBDIVISION LOT # System Installer: Q G CiP.d Registration # Basement with plumbing: ❑ Garage 'X Number of Bedrooms 3 Type of Water Supply: ❑ Community 4 Public ❑ Well Distance from well %©o feet' System Type: Z111 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. Ims system has been installed in compliance with applicable North Carolina General Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization, tot L cvNve,tT1d)JAL CEMkD- 150 Q 3 C' k v l? LuEbc,,, Cj c1 P,G, C;j rcnrur wnvnwna. 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 ❑ N~1< ' If yes, see attached sheet for additional operation conditions, maintenance and reporting. Following are the specifications for the sewage disposal system on the above captioned property. Type of system: ❑ Conventional j~ Other I t 1LG C~4 s,P5 Septic Tank: 100 0 gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field of each ditch -o A40 feet ditches 3 feet ditches aLA IT inches French Drain Required:- I _ Meet I&r:joVv NP.TvR.ALG2AoE Authorized State Agent - \ eS Date `1I IC I Thfs "`J c"1rP ,shins 1.9 ft6m the Fue: Cr:7de i^cafton onc! ms'e!s the Nc speCfficatlon gs Ir tavalivrv WOStewater System c;,Prov J IWWS.2002.03R for fire chip tubslltutlan fa Rook A Weprate In Nitrification Fields.