Loading...
OPHTE# b`'s -Harnett County Department of Public Health 21096 PERMIT # a53L>"U Operation Permit New Installation 1-~ Septic Tank ❑ Repair` Nitrification Line ❑ Expansion PROPERTY LOCATION: cs C,3,~-1 Name: (owner) R-P-A,c N V'1 ~Lcy, SUBDIVISION LOT # System Installer. Gcx>~.~~o Ecrp i-e. Registration # Basement with plumbing: ❑ Garage Number of Bedrooms 3 Type of Water Supply: ❑ Community Public ❑ Well Distance from well t© o feet System Type: -b 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. [his 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. `N ovo5 35 ' x'g-T' 2 { f Y Ta A Y ?v YI r I r~nrui wnvinvn3. 1. Performance: II. Monitoring: 111. 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 ❑ NN 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: ~k Conventional ❑ Other Subsurface No. of exact length Drainage Field ditches S of each ditch 100 feet French Drain Reouired: . \\`t'manr fir. Septic Tank: t M 0 gallons Pump Tank: gallons width of depth of ditches 3 feet ditches )i a, inches Authorized State Agent Date 3 5 y 9 ~ ~ t' ,fib e 3r stF 3 K 4 I i k~ c , 1. 771