OPHTE#1d-s"- z3WZ Harnett County Department of Public Health 21 0 2 4
PERMIT # Z5-72 Operation Permit
SK S New Installation Ld Septic Tank ❑ Repair ~Nitrificatlon Line El Expansion
PROPERTY LOCATION: SarGG
Name: (owner) 411if SUBDIVISION LOT #
System Installer:. Registration #
Basement with plumbing: Garagember of Bedro ms
Type of Water Supply: El Community ~4pulblic ❑ Well Distance from well feet
System Type: 7- ZU G- Types V and VI Systems expire in 5 years.
(In accordance with Table V a) Owner must co tact Health Department 6 months prior to expiration for permit renewal.
This 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
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II. Monitoring:
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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 ❑ No ❑
If yes, see attached sheet for additional operation conditions, maintenance and reporting
Following are the specifications for the s010ther disposal system on the above captioned property.
Type of system: ❑ Conventional Z5!,6 2ftocrL" 44- Septic Tank: /evfl gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches `l of each ditch -I feet ditches 3_ feet ditches 24--J'19 inches
French Drain Required: Linear feet
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