Loading...
OPHTE# og-5-aa~a~ Harnett County Department of Public Health 2 0 81 4 PERMIT Operation Permit New Installation Se tic Tank ❑ Repair ~ Nitrification Line ❑ Expansion PROPERTY LOCATION: ~s~,a st LNG>N-~ e Name: (owner) Cot~ozr,c go AF5 SUBDIVISION -T"NiS LOT # 11 System Installer: R N o-V Registration # Basement with plumbing: ❑ Garage Number of Bedrooms 3 Type of Water Supply: ❑ Community Public ❑ Well Distance from well f -Q )v 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. ina srscem nas Been mstaneo in compoance with apphcame norm larolma heneral Statutes, Rules for Sewage Treatment and Disposal, and all conditions of the Improvement Permit and Construction Authorization. r 1 r r PA t ti5~'i R6PA~ ~ 2S ` W ASLI'a f+ n`1, 1. Performance: System shall perform in accordance with Rule .1961. If. Monitoring: As required by Rule .1961. 111. 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: ❑ Conventional A Other ©usC'1~,'A C-~AM4EQ- Septic Tank: 1000 gallons Pump Tank: gallons Subsurface No. of exact length width of depth of Drainage Field ditches of each ditches feet ditches 3 feet ditches 1-6 inches French Drain Reauired: n ' ear~t Authorized State Agent BGNS Date b016 fIvor Z t _ Jfac w .slf. ~ >h iF' j• j Vk Y' ~ a, r a~ ~ ~ ~ 1 YK4 ST I ALL, a~ a x j t F 4 M~ ~ y ~ t 1 i ~y~ t ~'~~T ..F - s>r wit ~ ~ C5 1-5 Onj -4Z~ I 1 E ~ a e s r r emu. ? ry. . E r. t 53 .~4+tr bit