OP RHTE# 3146 8i . Harnett County Department of Public Health
PERMIT #_Z 7 306 Operation Per 2 3 0 0 7
New Installation Septic Tank 91 „,rr Nitrification Line ❑ Repair ❑ Expansion
PROPERTY LOCATION: , y I ” ! S
Name: (owner) VISION LOT #
System Installer: •°_ Registration #
Basement with plumbing: ❑ Garage ❑ ber of Bedrooms
Type of Water Supply: ❑ Community 2 Public ❑ Well Distance from well feet
System Type: 2 52!4 and VI Systems expire in 5 years.
(In accordance with Table V a) Own _must contact 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&atment and Disposal, and all conditions of the Improvement Permit and Construction Authorization.
PERMIT CONDITIONS:
I. Performance:
II. Monitoring:
III. Maintenance:
IV. Operation:
V. Other:
System shall perform in accordance with
As required by Rule .1961.
As required by Rule .1961. Other:
Subsurface system operator required? Yes
If yes, see attached sheet for additional
s
96 t
to [ onditions. maintenance and rel
❑ D -Box ❑ _ Pump ❑ c ` Alarm ❑ H2OLine ❑ PWR Line
Following are the specifications for the sew disposal system on the above captioped` property. Type of system: El Conventional Other h M45DU C -rtO�3 Septic Tank: Q 6) gallons Pump Tank: gallons
Subsurface No. of exact length width of depth of
Drainage Field ditches of each ditch feet ditches feet ditches inches
French Drain Required: Linear feet °
Authorized State A Date
13 -5 -31008 (1)
13 -5 -31008 (2)
13 -5 -31008 (3)
13 -5- 31008(4)
13 -5 -31008 (5)
13 -5 -31008 (6)
13 -5 -31008 (7)
13 -5 -31008 (8)
13 -5 -31008 (9)
13 -5 -31008 (10)