OPHTE# o-1- s `5+62, Harnett County Department of Public Health 19 612
PERMIT # 9.45 oa. Operation Permit
New Installation )K Septic Tank 0 Repair,~l` Nitrification Line 0 Expansion
PROPERTY LOCATION:
Name: (owner) RAtr r f t D4t^EEs SUBDIVISION C
N~tA Oates LOT #
System Installer. Nt^s SF VK ,r_ S XL„ IC-r- Registration # 5
Basement with plumbing. ❑ Garage Number of Bedrooms t+-
Type of Water Supply: ❑ Community Public ❑ Well Distance from well Ind feet
System Type: b Types V and VI Systems expire in S years.
(In accordance with Table Y a) Owner must contact Health Department 6 months prior to expiration for permit renewal,
This s t- has bem MW in cmmpfasce with applicable xmrth Ca olim General katutes, Rules for kw age and D
~ s{asal and all conditions of the Improvement Permit and Cmnstrsxtion Audwrinrion,
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PERMIT CONDITIONS:
I. Performance: System shall perform in accordance with Rule .1961.
II. Monitoring: As required by Rule .1961.
III. Maintenance: As required by Rule .1961. Other.
Subsurface system operator required? Yes ❑ No'R
IV. Operation: If yes, see attached sheet for additional operation conditions, maintenance and reporting.
V. Other.
ISO
Following are the specifications for the sewage disposal system on the above captioned property.
Type of system: ❑ Conventional Other QuEck, C'~ t'sua
Subsurface Size of tank: Septic Tank: ICX)Q gallons Pump Tank:
No. of exact length width of gallons
Drainage Field ditches of each ditch Sob feet depth of
French Drain Required: \ feet ditches -3 feet ditches inches
Authorized State Agent
Date