OPATE#nt,-5- 1586 { Harnett County Department of Public Health 19847
PERMIT # Z 3330"
~peration Permit
New Installation Septic Tank ❑ Repair l Nitrification Line ❑ Expansion
PROPERTY LOCATION: Yo ~ a
Name: (owner) m e t..1 ca:X ~ SUBDIVISION ✓XX-it CAA,,-At LOT
System Installer. (Nt:P4._ r A7za =C9 Registration #
Basement with plumbing: ❑ Garage ~Number of Bedrooms
Type of Water Supply: ❑ Community t2' Public ❑ Well Distance from well feet
System Type: T G- T 7- Types Y and YI Systems expire in 5 years.
(In accordance with Table Y a) Owner must contact Health Department 6 months prior to expiration for permit renewal.
nus system has been mstalw in compiance with 'cable North C"ina General Statutes, Rules for Sewage Treatment and Dispmal, and all condiu m of the Im orement Permit and (omm uctian Authorization.
_j4~~irG~V1ti
1,51 ^ it L
!>Nco'rc t* 0 o.7r-
m
r~Gl 147,..-, ~~Gdv2~ .r
f
r
Ae ' S
(
< 12' Pc4 o l d
3
7
13V t l~'TT 1 4 ,46
5'
4f/475 ! C64 7b
~
~
'dU
~v E
Z's5c/~ f
2-1-08
PERMIT CONDITIONS:
I. Performance:
ll. Monitoring:
III. Maintenance:
IV. Operation:
Y. 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 ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting
Following are the specifications for the sews disposal system on the above captioned property.
Type of system: El Conventional Other 2,5-/Pj Size of tank: Septic Tank: /ooo gallons Pump Tank: gallons
Subsurface No. of exact lengtK width of depth of
Drainage Field ditches 2 of each ditch ! 3z> feet ditches 3 feet ditches 2 y inches
French Drain Required: Linear feet
Authorized State Date _ v2- `f - c>. g